NHS Pay

Ian Paisley Excerpts
Wednesday 13th September 2017

(7 years, 1 month ago)

Commons Chamber
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Jonathan Ashworth Portrait Jonathan Ashworth
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I hope the hon. Lady made those points at the rally last week, when she was talking to nurses. But I would say to her that the Government have found an extra £1 billion or so for Northern Ireland. We do not begrudge Northern Ireland that, but the Government have found more money for Northern Ireland. Also, the Government are giving away billions and billions in corporation tax cuts. They have given away £1 billion in inheritance tax cuts. Government is indeed about making choices. We would make a different set of choices, but if the hon. Lady is genuine, as I believe she is, and sincere, as I believe she is, in wanting to get rid of this cap, she needs to send a message to the Chancellor, not the Tory Whips, and vote for our motion.

Ian Paisley Portrait Ian Paisley (North Antrim) (DUP)
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I thank the hon. Gentleman for giving way on this very important issue, and I must say that I and my colleagues are minded to support the motion that he has put before the House. But it would be appropriate if true sincerity was shown by all Members of this House—if they stopped attacking the Government for giving Northern Ireland that £1 billion, so that we can alleviate the costs that would allow us to make that pay gap narrow.

Jonathan Ashworth Portrait Jonathan Ashworth
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I did say I did not begrudge Northern Ireland the money; I was just making the point that the Government have found the money, when they keep telling us that there is no money for anything else. But we are grateful that the Democratic Unionist party has signed the early-day motion in the name of my hon. Friend the Member for St Helens North (Conor McGinn), and we are aware that the DUP has said consistently that it supports getting rid of the pay cap for public sector workers. We would be very happy for the party to join us in the Division Lobby this evening.

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Philippa Whitford Portrait Dr Philippa Whitford (Central Ayrshire) (SNP)
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We have had many debates on the NHS in the House, and as I have said previously, the workforce is one of our biggest challenges, which is why it is so important to get this right. The debate is focused on NHS staff, but we are discussing all public sector workers. We are talking about all workers within the NHS: we must not only consider those at different grades, but not allow a separation between frontline and back-of-house staff. As a surgeon, if I turn up at a clinic and there are no case sheets and the patient has not been informed of their appointment, it is a totally pointless exercise. We need to realise that the NHS is a team, and if we do not look after the team, it will not work.

Obviously this all started with the crash. I will defend Members further along the Opposition Benches, because I get really bored with the Labour party being given responsibility for the crash. Labour did not have that degree of world domination. It was a world crash. At the time of the crash, it was right to look at public sector pay, because it is a big outlay. The reason given at the time was to avoid redundancies and keep people in their jobs. However, although in Scotland we have had no compulsory redundancies, there have been 20,000 NHS redundancies over the past seven years and more than 40,000 compulsory redundancies among public sector workers. That means that people in England had a pay freeze for three years and then a pay cap, but they still lost colleagues.

I still work in the NHS and, until the recent campaign, I would have heard comments from nursing colleagues about not money but staffing—people being on shifts and feeling thinly spread, unable to care, anxious about the danger to their patients. I would say that that is the No. 1 concern, but people in England have had a double whammy: they have had the pay freeze and the pay cap, yet they have still had redundancies. From what we read, there could be a lot more to come from the sustainability and transformation plans, and that is just plain wrong.

In Scotland, we focused what money we had in a different way. The people on less than £21,000 got 3% rises every year, with an absolute minimum in 2010 of £250, which has now risen to £400. If we focused only on percentages, a consultant like me would be sitting on a great pay rise, while the person who is cleaning the bedpans and making the beds would get a pitiful rise, so it is important that more of the money is pushed lower down. In Scotland, we pay the real living wage, not what we Scottish National party Members call the pretendy living wage—the national living wage. A living wage should be a wage on which someone can live. It is as simple as that. Our public sector workers demand no less than that.

Ian Paisley Portrait Ian Paisley
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I appreciate the points the hon. Lady makes. She has creatively reflected on how the Scottish Government have directed resources differently, which is exactly what we and the Northern Ireland Executive want to do with the £1 billion resource. It will allow us to direct resources differently so that we can then address the other critical issues. Does she agree that people who begrudge Northern Ireland’s getting that money are actually begrudging public sector workers their rights?

Philippa Whitford Portrait Dr Whitford
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I do not begrudge people in Northern Ireland the money that they have gained from that deal. All that the rest of us are asking for is to have something similar elsewhere. Nurses in Scotland, Wales and England are struggling as much as those in Northern Ireland. To be honest, it is a distraction to keep focusing on that deal. I disapprove of it, but not because people in Northern Ireland are getting a bit more of the help that the rest of us would be glad to receive.

We had the pay freeze and then the pay cap, but there have even been times when the pay review bodies’ recommendations have not been carried through. That has resulted in a band 5 nurse in England being paid £300 less a year than a band 5 nurse in Scotland. We have pushed the money down the way, so for a healthcare assistant or nursing auxiliary, the difference is more than £1,100 a year. However, it is not just a matter of the people at the bottom. In a way, the people who have experienced the freeze the most are those at the top of their grade who are not getting any more increments and are not changing grades. In actual fact, their pay has not moved for several years, and then it has moved by only 1%. Other people’s pay has gone up by increments, so at least they have seen a change in their pay. Earlier, a Labour Back Bencher was talking about a senior nurse. Such senior staff, who are within 10 years of retiring and who carry the experience of the NHS, are looking at other jobs in which that kind of life experience would be much more highly rewarded, and they are thinking, “Can I even afford to stay in this job if I am to look after my family?” In Scotland and elsewhere, we have tried to tackle this appalling issue of low-paid staff in a caring public service such as the NHS, but now we must realise that, for people higher up the grades, the time is over.

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Ian Paisley Portrait Ian Paisley (North Antrim) (DUP)
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I have already alluded to the fact that I am delighted that the Labour party secured this afternoon’s debate. We will support the motion if this matter goes to a vote tonight, but it will be interesting to see whether we actually reach that point. Maybe the House will agree that the points that have been raised today are such that we should send out a clarion call from this House that we agree with what has been said on both sides of the Chamber today, despite some of the party political divisions that might have informed some of the debate.

I too declare that, like many Members, I have members of the family in the health service. My wife was a nurse in the Royal Victoria Hospital in Belfast, my daughter is a nurse in the Craigavon Area Hospital, my niece is a junior doctor in a hospital in Belfast, and my nephew is a trainee doctor. Many of us therefore see at first hand and hear about the needs of our health service from our relatives. From time to time we hear churlish points made to the effect that people do not care. I think all Members throughout the House know that at any moment they will know someone who works for or is being cared for in the NHS, and it is important to state that it is a brilliant service and that that service needs to be supported.

I want to raise two points. The first relates to the number of nursing staff vacancies that currently pertain in the NHS. I quote from a letter from Janice Smyth, a director of the Royal College of Nursing in Northern Ireland, in which she has indicated to me:

“The use of agency staff in Northern Ireland and associated agency costs have almost doubled”

over the past few years, and that of course puts significant pressure on budgets. Also, it is unfair on regular staff in the service when they see the difference in pay that sometimes accrues. That is not to deny bank staff their right to that pay, but it does have an impact on people’s morale.

We have 1,300 vacant posts for nurses in Northern Ireland, and about the same again in the private sector. That needs to be addressed, and Northern Ireland has tried to address it by way of ensuring that the bursary remains in place. I believe that has been beneficial, but that is not the only answer. I also believe that the pay difference in Northern Ireland is dramatic and significant. It is important that I put this on the record. A care assistant in Northern Ireland earns about £17,500. Without the pay cap, they would be earning almost £20,000. A newly qualified nurse earns about £21,000. Without the pay cap, they would be earning about £25,000—a shortfall of £3,500 per year. For an experienced staff nurse, there is a significant difference: whereas they currently earn about £28,500, without the pay cap they would be earning £32,000—a shortfall of over £4,000 per annum. A highly qualified, experienced specialist nurse in Northern Ireland earns about £41,000; without the pay cap they should be earning £47,500—a shortfall of a staggering £6,500. That gap must be addressed, and addressed radically if we are to change things.

I would say to those members of the Labour party who chide us about the £1 billion deal: your party would have quite happily covered a deal that would probably have been better for us—those are the discussions we had in advance of the last election. In chiding us, you only hurt the public servants in Northern Ireland who are benefiting from that £1 billion deal that will allow us to allocate this money to relieve these costs.

None Portrait Several hon. Members rose—
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Defending Public Services

Ian Paisley Excerpts
Monday 23rd May 2016

(8 years, 5 months ago)

Commons Chamber
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Keith Vaz Portrait Keith Vaz
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The right hon. Gentleman is absolutely right. It is not just about preventing people without a drugs habit going to prison and coming out with one. We have been sending people to places like Belmarsh, which has been described as a place where jihadists seem to be able to influence young people. Knowing his great passion for mental health issues, the right hon. Gentleman reminds me that Simon Cole, the chief constable of Leicestershire, who is the lead on counter-terrorism in the Prevent programme, has talked about the number of jihadists who have mental health problems. These are all issues that we need to confront. We cannot necessarily do it by legislation, but we need to make sure that we have the framework in legislation to provide the resources, the time and the effort to work with people.

My final point concerns the sugar tax. I was delighted when the Chancellor of the Exchequer introduced it. We should acknowledge the fact that today is his 45th birthday. I hope he is having a sugarless cake because, as we know, a spoonful of sugar may help the medicine go down, but it is also one of the steps on the way to diabetes. As someone who suffers from type 2 diabetes and chairs the all-party parliamentary diabetes group, I believe the proposed sugar tax will send a clear message out to the retail companies. However, the manufacturers of drinks such as Coca Cola and Red Bull do not have to wait until the sugar tax comes into effect; they can start promoting sugarless drinks now.

I got into a lot of trouble because I did not want the Coca Cola van to come to Leicester at Christmas. I was accused by some people of robbing them of their Christmas. They had decided that the Coca Cola van was so strongly associated with the Christmas spirit—forget about Christianity, the birth of Christ and so on; it was the Coca Cola van that gave them Christmas—that I was severely criticised. I will make a deal with Coca Cola from the Floor of this House: if the company sends its van to promote non-sugar drinks, I will be happy to welcome it, but promoting a drink containing seven to 10 teaspoons of sugar, cannot be good for the health of our nation.

Ian Paisley Portrait Ian Paisley (North Antrim) (DUP)
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The right hon. Gentleman should recognise that since 2010 sales of diet drinks have increased by 33%, and in 2014 the crossover point was reached—more people purchased diet drinks than regular drinks.

Keith Vaz Portrait Keith Vaz
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That is a good statistic, for which I thank the hon. Gentleman. The change has come about only because of pressure from parliamentarians and from others outside Parliament, particularly clinicians, who have argued strongly that unless something is done, the health of the nation will be affected. That is why I tabled my urgent question on the obesity strategy. Unless we continue to put pressure on the manufacturers and the retailers, nothing will change.

Although we will have a sugar tax, it is still up to the supermarkets to ensure that they promote sugarless drinks. At Waitrose in Wolverhampton, which is not that far away from your constituency, Madam Deputy Speaker, there is a kiosk right in the middle of the store displaying only no-sugar products. The drinks with sugar content are put elsewhere. That is what the retailers have to do. The introduction of the sugar tax will encourage retailers and manufacturers to change their ways.

Finally, this is a hospitals and health debate—at least, it was opened by the Health Secretary. I shall not mention video games this time; I leave that to the Minister for Culture and the Digital Economy. I am very concerned about proposals from the local health authority to close the Leicester General Hospital. The possibility of reconfiguration is being considered. I have had had discussions with the chair and the chief executive of the hospital trust. I know that we have on the hospital site a world-class diabetes centre run by Professor Melanie Davies as well as Professor Kamlesh Khunti. We need to look very carefully at any plans that will diminish the services available to local people.

The general hospital site has been used by local people for years and years as a hospital site. We were promised a new hospital, accommodation for nurses and all kinds of things in the 29 years that I have represented that city. None of those promises have been realised. Although we in the community and I as the local Member of Parliament are prepared to enter into dialogue with the local health authority over its proposals, if the authority thinks it can close the hospital and give us nothing in return, there will be a bare-knuckle fight to try to preserve those services. I am not attached to the buildings—buildings are just a means of delivering services—but I am attached to the services. It is really important that we ensure that our health services remain the best in the world. I take the Secretary of State at face value: he wants our NHS to be the best in the world, and so do we. In order to achieve that, we need to make sure that it is properly resourced, keeps up with the developments in our population, and provides the expertise that is necessary for the NHS staff, to whom we pay tribute, to do their work so that it retains the best the world has to offer.

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Ian Paisley Portrait Ian Paisley (North Antrim) (DUP)
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A theme has been emerging during the debate; it is the apparent “lack” or “poverty” of ambition in Her Majesty’s Gracious Speech. That theme has come from speakers on both sides of the House. When the hon. Member for Harrow East (Bob Blackman) was talking rubbish—or was it refuse collection? [Interruption.] I knew he would not mind that. However, there was still the criticism, “Here’s all the things I would have liked to have seen in the Gracious Speech.” We have heard very little about what is actually in it. If this Queen’s Speech and agenda are regarded as largely harmless or tame, it still is not the job of the Opposition to roll over in the face of that. I encourage them robustly to test each of the measures thoroughly, no matter how harmless they may appear, and to improve upon them, if that is possible.

With that in mind, I wish to focus my comments on the following promise:

“Legislation will be introduced to establish a soft drinks industry levy to help tackle childhood obesity.”

The Minister for Community and Social Care, who was before the House earlier today, promised that there would be a full package of measures to address childhood obesity, but we have seen that that package is in fact a single action: putting in place a new tax. I commend the Government for wishing to tackle childhood obesity, but I have yet to be convinced that a tax or levy on soft drinks will achieve that. If taxation was indeed the way to tackle bulging waistlines, Her Majesty’s Government would have found the holy grail, but it is important that the Opposition test this measure before blindly following it, saying, “It sounds good. It looks good. It seems to be a positive measure. Let’s support them in it.”

The over-taxation of products does not lead to reduced consumption, as we have seen with cigarettes and alcohol; consumption does not drop dramatically, although it might be controlled, and the root cause is not addressed. When taxation has been introduced at the highest levels possible, we have seen crime associated with those products increase. Let us just say that I am sceptical about a levy on sugar. It is one of those policies that sounds good and catches the headline, but it has no sound evidential base. Public Health England and the McKinsey Global Institute, in 2014 reports and studies, state that portion size, the reformulation of products, exercise, education on nutritional values and parental control have a greater impact on obesity than any taxation policy. The one country where this policy has been introduced is Mexico, where it has not worked at all. For children, the actions of their parents probably do more to improve their lifestyle than a tax on their parents’ weekly shopping cart. This sugar tax is a stealth tax dressed up as a health measure, and the Government should not be pursuing it.

The target of the tax is the soft drinks companies, but they are already taking steps to follow the evidence, through the reformulation of some of their drinks. In fact, soft drinks are the only food and drink category where sugar intake is falling year on year, and that has been the case since 2012. I therefore have a number of questions and I hope the Government will attempt to address them, either this evening or when they try to introduce this measure later in the year. Did they formulate their tax plan on 2012 evidence or on evidence since then? Do they intend to direct this tax at other higher sugar content products, in order for us to see what the Minister said earlier about the full package of measures? Where, therefore, is the real ambition of this policy?

Why have the soft drinks companies been singled out, when the evidence shows that they are already reducing sugar content in their drinks? Soft drinks are not even in the top 10 for calories contributing to the UK diet. Other products—for example, confectionary—are far higher up that list in terms of sugar content. Soft drinks form the only category of food and drink where the amount of sugar in take-home products is being reduced, and that has been the case since 2012. That fact is backed up by the 2014 Department for Environment, Food and Rural Affairs food survey—a Government survey—which showed that the switch to a diet drink from a regular sugar content drink has now taken place and that more of those drinks are now being drunk. If the Government intend to tax something, why put a levy on something that is already reducing the sugar content? They make all these promises about how they are going to spend the money, but that money is going to run out. They may promise that the money they raise will go on schools, but the figures that I have before me show that the commitment of £285 million to fund extended school days will cover only 25% of our secondary schools. If the Government pursue this tax, in five, 10 or 15 years from now, they will cover even fewer schools, so why pursue the tax at that level? The Office for Budget Responsibility predicts that the levy will raise less money year on year, but the Government have yet to set out how they will meet their commitment if that prediction is borne out.

I have tabled a number of written questions on this matter, and I have had some answers back from the Chancellor. Some of my questions were also to the Department of Health. No cost has been given for the policing or implementation of the levy. We have been promised a wide consultation, but we have had little apart from a sugary and sweet soundbite. The Opposition should challenge this a lot harder, because there is not the evidence to put it in place.

Oral Answers to Questions

Ian Paisley Excerpts
Tuesday 25th November 2014

(9 years, 11 months ago)

Commons Chamber
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Jane Ellison Portrait Jane Ellison
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We are taking this forward. Not everyone in the House may be aware that we are obliged to go through a process with Europe, whereby we notify this policy to EU member states and there is a statutory three months during which member states can give a detailed response. If any member state does so, there is a six-month pause. Four states—Bulgaria, the Czech Republic, Portugal and Romania—have given that detailed opinion, and the window has not yet closed. The House might be interested to know that Ireland received eight detailed responses on this subject. That is part of the process.

Ian Paisley Portrait Ian Paisley (North Antrim) (DUP)
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I welcome the Minister’s statement that she will wait for the evidence before moving forward rather than relying on emotion. She knows that the policy, if implemented, would threaten 1,000 jobs in my constituency. Furthermore, will she agree to await the outcome not only of the evidence from Australia but of the tobacco tax directive that is being pushed through Europe?

Jane Ellison Portrait Jane Ellison
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I am encouraged by the evidence from Australia. We have seen some really impressive statistics regarding the cessation of smoking. The Government have not yet made a final decision on the matter, but Health Ministers are on the record as saying that we are minded to move forward on this, and we want to make progress. I regret the loss of jobs in the hon. Gentleman’s constituency, but I know that he will be working hard to assist his constituents in looking for other employment.

Ebola

Ian Paisley Excerpts
Monday 13th October 2014

(10 years ago)

Commons Chamber
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Jeremy Hunt Portrait Mr Hunt
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I remember working with the right hon. Gentleman on the International Development Select Committee many years ago, when we had many conversations about strengthening the resilience of local health care systems. He is absolutely right to say that that must be our long-term goal, and I will ask the Secretary of State for International Development to write to him to explain how our efforts in Sierra Leone will help to strengthen its local health care system in the long run. The simple point I would make is that this illustrates the dual purpose of our aid budget more powerfully than any example I can remember. First, our aid budget gives humanitarian assistance to some of the poorest countries in the world and, secondly, it protects the population at home in the UK. Those two aims go hand in hand.

Ian Paisley Portrait Ian Paisley (North Antrim) (DUP)
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I welcome the Secretary of State’s statement and I appreciate having been given an advance copy of it. He mentioned the devolved regions. First, will he tell us which Minister in Northern Ireland will take personal responsibility for this matter? Secondly, he will know that the main point of entry for potential victims of this terrible disease is the Republic of Ireland. What special measures are being put in place to stop people using those points of entry to travel from the Republic to Northern Ireland when there are no apparent protective measures in place?

Jeremy Hunt Portrait Mr Hunt
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The Under-Secretary of State for Health, my hon. Friend the Member for Battersea (Jane Ellison), has been in touch with Jim Wells in the Northern Ireland Assembly and she will take up that issue. The broader point that the hon. Member for North Antrim (Ian Paisley) makes is that there are many points of entry into the UK, and it is important for us to recognise that our screening and monitoring process will not catch absolutely everyone who comes from the affected regions. That is why we need to have other plans in place, such as the 111 service, and to have encouragement at every border entry point for people to self-present so that we can protect them better, should they develop symptoms.

Mitochondrial Replacement (Public Safety)

Ian Paisley Excerpts
Monday 1st September 2014

(10 years, 2 months ago)

Commons Chamber
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Ian Paisley Portrait Ian Paisley (North Antrim) (DUP)
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Those who have spoken against the motion have said that they want people to be honest and that they want the truth, but when they have bandied around quotations from Lord Winston they have obscured the truth. Lord Winston’s position is clear, and he is for this type of research, but he made one thing abundantly plain. He said that this

“is genetic modification and is handed down the generations.”

He was honest and called it what it is. He went on to say:

“It is totally wrong to compare it with a blood transfusion or a transplant and an honest statement might be more sensible and encourage public trust.”

We have such anger and confusion about the issue because of that deliberate deceit and dishonesty, and the House should take cognisance of that.

The other tactic that has been deployed is to felon set, to emotionally blackmail and to say to people such as the hon. Member for Congleton (Fiona Bruce), “You have inflicted”—these are the words used about her by the hon. Member for Cambridge (Dr Huppert)—

Julian Huppert Portrait Dr Huppert
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indicated dissent.

Ian Paisley Portrait Ian Paisley
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Yes, you did. Check Hansard. You said, “You have inflicted this disease on people.”

The debate has got very personal—it has gone into that realm—and people are trying to felon set, to emotionally blackmail, to emotionally charge the debate and to say that people are, to quote another Member, scaring us into opposing this. We must be abundantly clear that such emotional blackmail should be removed from the debate. There should be an honest debate and we should be allowed to discuss the ethics and to put on the table our views, including our moral views.

Baroness Ritchie of Downpatrick Portrait Ms Margaret Ritchie (South Down) (SDLP)
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Does the hon. Gentleman agree that the complete lack of evidence on the possible outcomes as these children grow up and have their own children, with females passing on their genetic code to children, means that the technique should not be proceeded with at this stage?

Ian Paisley Portrait Ian Paisley
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Some of the pre-clinical tests were completed only in June. It is impossible even to read the detail of them, yet we have a mad rush from some people to proceed. I am not standing in the way of that, but saying that we should do so on the basis of solid, sure and grounded evidence, not emotional blackmail and emotionally charged arguments. The evidence therefore becomes critical. We should be allowed to consider it and we should allow the evidence to emerge post-pre-clinical testing and examination.

There have been two public consultations and I heard one Member dismissing them, saying that all the letters were the same. I can tell the House this: if the letters had all been the same and the majority view had been the other way, the same Member would not have been saying that tonight. He would be saying, “Oh look, the public are with us. The consultation’s there.” The Department of Health consultation is against this proposal and so is the consultation by the HFEA. The ComRes polling moved dramatically between February and August from a wafer-thin majority of 35% of people in favour of the proposal to an overwhelming majority of 55% or so opposed to it. That is a huge landslide.

Honesty should return into the centre of the debate and we should have a full, frank discussion. Let me be clear about my position, as people will ask about the ethical position. I come from a moral stance. I share the psalmist’s view that we are “fearfully and wonderfully made”. We should stand in awe of that and praise the great creator for it, but that should not preclude us from having a proper debate. Other Members have mentioned colleagues or constituents who have had children brought in front of them and I, too, have a constituent who wheeled a little child in front of me. Her words ring in my ears today. Despite all the hurt, all the heartache and all the pressure, tears and anguish for that family, the words of the mother were very clear, “Ian, I would not change this for one moment.”

NHS Investigations (Jimmy Savile)

Ian Paisley Excerpts
Thursday 26th June 2014

(10 years, 4 months ago)

Commons Chamber
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Jeremy Hunt Portrait Mr Hunt
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Absolutely right. The case that my hon. Friend mentions was a real tragedy because that person suffered very real psychological harm in subsequent years as a result of what they were told by the cleaner. There are two points. First, we cannot necessarily corroborate, but we can see a pattern. What is impressive about these investigations is the fact that the investigators say time after time that although it is not possible to prove that these things happened, they believe that they did happen because the evidence was credible. On one or two occasions, they say that they are not sure, but in the vast majority of cases, they thought that the evidence was credible. Secondly, there will continue to be times when offences are alleged, but it is not possible to prove them in a court of law. The big lesson to be learnt is that that does not mean no action should be taken. We must do what it takes to protect patients.

Ian Paisley Portrait Ian Paisley (North Antrim) (DUP)
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I appreciated the right hon. Gentleman’s statement. Does he agree that the fear of litigation by NHS practitioners appears to be one of the reasons why the system does not lend itself to the provision of a good listening ear, and, indeed, one of the reasons why a compassionate response to that listening is not always forthcoming? What practical steps can be taken to ensure that, at an early stage, practitioners actually listen to complaints?

Tobacco Products (Standardised Packaging)

Ian Paisley Excerpts
Thursday 3rd April 2014

(10 years, 7 months ago)

Commons Chamber
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Ian Paisley Portrait Ian Paisley (North Antrim) (DUP)
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May I also place on record my thanks to the Secretary of State for making available an early copy of the report so that we could study it? The Minister said that there is compelling evidence, but Sir Cyril Chantler’s report says that he has

“not seen evidence that allows me to quantify the size of the likely impact of standardised packaging”,

other than a “modest” reduction.

Will the Minister now commit to awaiting the outcome of the Home Affairs Committee report on illicit trade, which will be important in determining the impact of the policy? Will she also consider the outcome of the Northern Ireland Affairs Committee report on illicit trade, which showed that illicit trade is on the increase and is costing this Government billions of pounds a year? Finally, will the Minister have a word with and say something to 1,000 of my constituents who have been put on notice by today’s decision that they are not valued and that their jobs are over because of this Government?

Jane Ellison Portrait Jane Ellison
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I have already said quite a lot about illicit trade. It is mentioned in the report, which the hon. Gentleman has obviously had a chance to look at. He quoted the word “modest” but, as I said just a moment ago, even a modest impact on a major killer is very important. As a Health Minister, I regularly answer parliamentary questions and letters from colleagues throughout the House on issues that affect far fewer children than 4,000 a year. We have spoken privately and exchanged correspondence on the issue of jobs. The impact assessment will reflect on it and the hon. Gentleman will have an opportunity to make a submission to the final consultation.

Children and Families Bill

Ian Paisley Excerpts
Monday 10th February 2014

(10 years, 8 months ago)

Commons Chamber
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Jane Ellison Portrait Jane Ellison
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Actually it is neither of those two things. Technical amendments are needed to the wording of what was passed in another place and the Government’s view was that the House needed the chance to consider something that was legally workable. I will cover that in a bit more detail later.

Ian Paisley Portrait Ian Paisley (North Antrim) (DUP)
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Does the Minister not agree that this is actually premature and that we should await the outcome of the Sir Cyril Chantler review? That is an independent review and we should not try to shape his opinion in advance of it. In a famous statement in this House on 12 July last year—a date I will always remember—it was made clear that this was about gathering evidence. Surely we should await the gathering of evidence before we put legislation in place that will allow the implementation of something for which there may not be sufficient evidence.

Jane Ellison Portrait Jane Ellison
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I will discuss that point in more detail in a moment. We have had these discussions before. The Government are seeking regulation-making powers, but we will await the outcome of the independent Chantler review. Ministers will take all other factors into consideration at that time before making a decision.

I want to set out the key elements of the Government amendments. Let me start with standardised tobacco packaging. As I told the House on 28 November last year, we have asked Sir Cyril Chantler for an independent view of the public health evidence on standardised packaging of tobacco products. Sir Cyril’s report is due in March. During debates in the House, many hon. Members have told me that the evidence base for standardised packaging continues to grow. The Government will introduce standardised tobacco packaging if, following the review and consideration of the wider issues raised by this policy, we are satisfied that there are sufficient grounds to do so, including public health benefit.

We have therefore introduced provisions that would give Ministers the power to make regulations to standardise the packaging of tobacco products, should a decision be taken by the Government to do so. Ministers would be able to regulate internal and external packaging and any other associated materials included with a tobacco product, including the cellophane or other outer wrapper of a cigarette pack. The powers will extend to other forms of tobacco such as hand-rolling tobacco.

Ian Paisley Portrait Ian Paisley
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The Minister has touched on two important points. One involves the packaging rights of companies. Is there anything in the legislation that would enable compensation to be granted to those companies if the Government chose to remove their trademarks and branding rights? I understand that, under European law, billions of pounds of compensation could be payable in those circumstances. Secondly, will the Minister clarify whether the Chantler review—

Baroness Laing of Elderslie Portrait Madam Deputy Speaker (Mrs Eleanor Laing)
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Order. The hon. Gentleman is making an important point, but I am sure that he will wish to be brief, as many people wish to speak in the debate.

Ian Paisley Portrait Ian Paisley
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I apologise for the longevity of my intervention, Madam Deputy Speaker, but these important issues affect many jobs in my constituency. My second point involves the illicit trade in tobacco products. Will the Minister tell us whether that will be covered by the Chantler review?

Jane Ellison Portrait Jane Ellison
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As I said in my earlier statement to the House, the Chantler review is looking specifically at the public health aspects of these matters. Sir Cyril is perfectly free to look at whatever he wants, but those are his terms of reference. Other issues will be considered in the round when Ministers come to make their decisions. Those issues were of course fully explored during the consultation that took place before the review.

The amendment sets out the elements of tobacco packaging that could be regulated—for example, the use of colour, branding or logos, the materials used and the texture, size and shape of the packaging. It also sets out the aspects of the tobacco product itself that could be regulated.

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Jane Ellison Portrait Jane Ellison
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We have been discussing the issue earlier today, but we will look in more detail at that sort of detail when the House has voted on the principle of this and we have the view of both Houses. Today, the House is examining the principle, not detailed regulations, which would need to be brought forward and which would be subject to the affirmative resolution.

Ian Paisley Portrait Ian Paisley
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I appreciate the Minister helping us to get to the bottom of this. I understand that under rule 148 of The Highway Code a driver is prohibited from smoking, eating, drinking, doing a crossword or listening to a loud radio at the wheel, for very obvious reasons. If that is the case—

Lindsay Hoyle Portrait Mr Deputy Speaker (Mr Lindsay Hoyle)
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Order. I think we have got the message. The hon. Gentleman has had two interventions. We are going very well, so let us not challenge the Minister too much so early on.

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Charles Walker Portrait Mr Charles Walker
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My concern about the Lords amendment is that we are in danger of criminalising otherwise very loving parents. We should guard against that. It would be appalling if people who have been good parents in every other way found themselves being criminalised as a result of smoking in a car when their children were present.

I hear the argument about seat belts and it is perfectly and entirely reasonable for the Government to set the terms of their use on the road. If the Government decide that someone who wants to drive on a road has to wear a seat belt, that is highly reasonable. I suggest that, if the Government really are determined to press ahead with banning smoking in cars, that is exactly what they should do: they should ban the consumption of alcohol in cars by any person of any age and ban smoking in cars by any person of any age. That would be a much more honest approach, because, as I have said, if we go down this road we will be criminalising hundreds of thousands of parents. Will a repeat offender—someone who has been penalised three or four times—have their children taken into care because they are deemed to be an abusive parent?

There is an enormous degree of hypocrisy in this House. I am pleased to say that I am a teetotal non-smoker. There are many people in this place who want to ban smoking because they think it is not done by very nice people, but they are much more relaxed about alcohol because of their own habits. If Members are genuinely concerned about the welfare of children, they need to realise that alcohol is the problem, not tobacco. Hundreds of thousands of children have their lives blighted by alcoholic parents and the problems associated with alcohol, yet we never talk about that in this House, because some Members think, “We, as nice people, drink.” I am extremely concerned about the direction of travel.

My final point—I know that others want to speak—is that we will drive another wedge between the police and those they are policing if we implement this provision. It is nonsense. We will expect the police to intervene and that will further widen the gap between them and those they are policing. That should be avoided and we should be very careful about widening that gap.

Ian Paisley Portrait Ian Paisley
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Like a number of Members, I am deeply concerned that this provision means that Parliament will slowly but surely become a farce. If Parliament wants to start legislating on issues for reasons of good public relations, this provision is a good idea. However, if we peel it back and look at the evidence, we will see that it is not essential.

We should take time to reflect on the evidence in favour of the Lords amendments. On legislating to prevent people from smoking in cars when children are present, let us be clear that the law, under rule 148 of The Highway Code, currently prevents a driver from smoking in any vehicle. He or she should not smoke in any vehicle when driving, so Lords amendment 125 is about the behaviour of passengers and not necessarily that of the driver. That will make it even more difficult for the enforcer—the police officer—to determine the actions and age of those smoking in a vehicle. We should be in the business of making good, sound and solid legislation, and I do not believe that this provision has been properly thought out. It should be taken back to the drawing board and we should consider who the passenger is and who the provision will affect.

The issue of enforcement is utterly critical, because the police are already not properly resourced to do the job they are currently asked to do in combating real criminals. If we set up another criminal class in the community, we will have to ask the police to go after them. Some police officers will take great joy in going after a soft-touch conviction, but that is missing the point and we have to recognise that the police would not have sufficient resources to tackle the issue.

The crux of the matter is: how many people actually engage in smoking in a vehicle when there is a child present? All we have heard from Members on both Front Benches is a guesstimate, not facts. When New Zealand carried out a similar action, it found that 0.13% of people smoked in a vehicle with a child present. We are asking this nation to legislate on something that is an incredibly minor problem.

Robert Buckland Portrait Mr Robert Buckland (South Swindon) (Con)
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I was interested to hear the hon. Gentleman’s point about rule 148 of The Highway Code. It is, in fact, only advisory with regard to avoiding distractions such as smoking and playing loud music in vehicles. It is not mandatory in the sense the hon. Gentleman might have been suggesting.

Ian Paisley Portrait Ian Paisley
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I was not suggesting that it was mandatory, but it does say that people should not do it. Rule 148 is very clear that people should not do a crossword, read a map, eat a sandwich or smoke while driving.

That takes us back to the crux of the matter. A person who lights up and smokes in front of a child—I hope the hon. Gentleman will accept this—is a prat, in my view, and we as a House should not be legislating on that, but educating. What we should really be engaging in is educating people. We do not require legislation to educate people not to be prats and to be sensible.

The number of people involved is minuscule, so is it right that this House is taking time, money and effort to legislate on such a minor problem? I do not believe it is.

Mark Durkan Portrait Mark Durkan (Foyle) (SDLP)
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The hon. Gentleman says that the number of people smoking in cars with children present is minuscule, but he has produced no evidence to back that up in relation to the UK. If the number is so minuscule, why is the provision so disproportionate and excessive and how would it make enforcement impossible in the way he suggests?

Ian Paisley Portrait Ian Paisley
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Let me take one of the facts raised by Labour tonight. According to tobacco consumption rates in the United Kingdom, 22% of people smoke in the Liverpool district, but according to the statistic put in front of us tonight, 25% of all children are subject to being in front of smokers. The number of people smoking is, therefore, higher than the Government statistics show. We need more clarity on the stats being put about by Members on both sides of the House. Labour and Government Front Benchers should wait, as they said they would in November, for the outcome of the Cyril Chantler independent review. If we wait for the gathering of evidence that we can all accept, we will be in a much stronger position to make the decision we are making tonight.

I am also concerned about the plain packaging measures, which will decimate an industry. There is not sufficient evidence to show that they will do what everyone wants them to do, which is to stop people smoking. A pound store I visited sells boxes for people to put their fags in. It is even possible to get ones that say “Vote Labour” or “Vote Conservative” on them. Believe you me, Mr Deputy Speaker: whenever cigarettes are sold in the future under this provision, these boxes will be given out freely by certain companies because they will take away the one warning that we do know is important, which is that smoking kills. Tonight we are putting in place an opportunity for people to cover cigarettes with no warning whatsoever.

The biggest problem that this country faces on tobacco is the illicit trade: 25% of all cigarettes smoked in the United Kingdom tonight will have been smuggled by criminals. We as a House should do something, on a united basis, to wipe out such criminal empires, instead of making it easy for them by giving them plain cigarette packages that are simpler to print, smuggle and get into the hands of children. That should be our real cause and health concern.

Andrew Selous Portrait Andrew Selous (South West Bedfordshire) (Con)
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I rise to support Lords amendment 125 for the very simple reason that children have no choice about getting into a car. Every day, up and down this country, children are told to get into a car by their parents or guardians; they have no choice. I think that we should operate on the basis of the “Do no harm” principle. The facts are clear: 165,000 incidents of childhood disease are caused every year by passive smoking. Not all car journeys are short: a close family member of mine was made to get into a car and to travel many hours to go on holiday while a pipe was smoked in the car. Despite protests, that pipe continued to be smoked.

On enforcement, many laws are not properly enforced—like all hon. Members, I want full enforcement—but is anyone saying that we should abandon the law against driving while holding a mobile to one’s ear because it is not always properly enforced? I have written to my police force to ask how many convictions they have had for people holding a phone to their ear.

Yes, in a perfect world we would change this situation through education, and of course we should refrain from banning things unless we have to, but the fact is that too many children—an estimated 185,000 every day—have to put up with it. Against their will—they have no choice—they are told to get into a small metal unit. We are here to speak up for those who have no voice, which is why I am proud to support the measure tonight.

Tobacco Packaging

Ian Paisley Excerpts
Thursday 7th November 2013

(10 years, 11 months ago)

Commons Chamber
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Bob Blackman Portrait Bob Blackman
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I agree completely. That demonstrates the failure of the tobacco industry to stop the illicit trade, even under the current advertising arrangements for packaging.

Ian Paisley Portrait Ian Paisley (North Antrim) (DUP)
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The hon. Gentleman will know that more than 1,000 people in my constituency are directly employed by the tobacco industry, which creates huge employment opportunities for my constituents. Why will he not just be honest and say that we should ban smoking altogether and make it illegal? That is the direction of travel he is taking. We are hearing all this nonsense about different colours, subliminal messages and messages written on cigarettes; let us cut the nonsense. Why will he not be honest with the House and say that he wants to ban smoking altogether?

Bob Blackman Portrait Bob Blackman
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I am not one of those who wants to ban particular substances. If someone wants to put a cigarette in their mouth, set light to it and attempt to kill themselves, that is their choice. They have the freedom to do so. All I say is, “Don’t breathe that smoke over me, don’t breathe it over children, don’t inflict it on others.”

Tobacco Products (Plain Packaging)

Ian Paisley Excerpts
Tuesday 3rd September 2013

(11 years, 1 month ago)

Westminster Hall
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Westminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.

Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.

This information is provided by Parallel Parliament and does not comprise part of the offical record

Ian Paisley Portrait Ian Paisley (North Antrim) (DUP)
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The Government face a choice: to make policy on the basis of emotion—indeed, of emotional blackmail—or to make it on the basis of evidence. I welcome the recent statement by the Government that they will look at and assess the evidence, then take a decision on that basis. That is an eminently sensible way to approach making policy.

Other Members do themselves a disservice if they take a particular position on the sale, manufacture and distribution of tobacco, saying that those activities are somehow aligned with those of child killers, cancer pushers and drug dealers. That is the import of what is being said today about people who wish to defend an industry that employs 66,000 people in this country. If we put it out of business, it will not reduce the consumption or sale of cigarettes by one; they will simply be manufactured in other countries and imported here, and they will continue to be smoked here.

Sammy Wilson Portrait Sammy Wilson (East Antrim) (DUP)
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Does my hon. Friend agree that despite the statistics that have been given here today, and despite all the health warnings and pictures on cigarettes, 200,000 people are still recruited into the cigarette industry every year? It is evident that the packaging—the shape and colour, and what is on it—does not deter people from smoking.

Ian Paisley Portrait Ian Paisley
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My hon. Friend makes an excellent point. I shall deal with the evidence on three issues. First, the Republic of Ireland has the tightest, harshest laws on public smoking. When it introduced those laws 10 years ago—it set the trend on this—smoking stood at 30% of the public. After 10 years of enforcement, enforcement, enforcement, today the number of people who smoke in the Republic of Ireland is 30%. There has not been one single change to consumption, yet we are told that this drive is all about reducing consumption. It does not actually work.

How do we address consumption? We do what the hon. Member for Banbury (Sir Tony Baldry) says: educate young people. In Germany, they have done that and consumption has fallen to 16%. Why? Because they educated the very young and persuaded people that smoking was not the course of action they should take. They educated them away from cigarettes. They also do another thing: they enforce. In other words, an adult cannot go into a shop, buy fags and give them to a 16-year-old. They enforce against adults who do that. Unfortunately, many people in this country go into shops and purchase cigarettes, or purchase illicit trade cigarettes out of the back of someone’s car, and then give them to young people. We should enforce against that.

I also want to deal with the myth about illicit trade. The hon. Member for Harrow East (Bob Blackman) should know much better. To suggest that HMRC is on top of the illicit trade in this country is to put one’s head in the sand. Last year, HMRC gave evidence to the Select Committee on Northern Ireland Affairs about illicit trade, and tobacco was dealt with. HMRC is fighting a tsunami of counterfeit trade in this country.

In my country, 25% of all cigarettes smoked are illegal. In Scotland, the figure is about 27%. If we are pretending today that the authorities are on top of the issue, we are absolutely, totally and completely wrong. We have to recognise that counterfeiters are rubbing their hands with glee at the prospect of their job being made easier. They will be able to get a simpler package cover that is standardised across the whole UK and push it out across the UK, getting people to smoke brands that are counterfeit and illicitly brought into the country. Remember that the people doing that are not Sunday school teachers; they are serious organised criminals who are involved in serious criminal endeavours.

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Chris Ruane Portrait Chris Ruane (Vale of Clwyd) (Lab)
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Ignatius Loyola, who founded the Jesuits, said:

“Give me the boy at seven and I will give you the man.”

I think that the strapline for the tobacco advertising industry is, “Give me the child smoker at 12 and I will give you the early grave.”

The advertising industry is finely honed. It uses psychology, science, art, craft and design to get a message across. It is not just happenstance or chance; the packages that cigarettes come in are dedicated to capturing hearts and minds. I am holding one—this is what we are talking about here today. This is a “super-slim” cigarette. What 12-year-old girl would not like to be super slim? It is a fine, elegant-looking bullet—or cancer stick. See this other one I am holding up. Guess who it is aimed at—14-year-olds. These packages will be responsible for hundreds of thousands, if not millions, of deaths of UK citizens over the next few decades. It is the most pernicious form of advertising in the country.

Ian Paisley Portrait Ian Paisley
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I appreciate what the hon. Gentleman is saying, but I remind him that in 2008 the then Health Secretary, the right hon. Member for Kingston upon Hull West and Hessle (Alan Johnson), said in a statement to the House that:

“there is no evidence base that”

plain packaging

“actually reduces the number of young children smoking.”—[Official Report, 16 December 2008; Vol. 485, c. 945.]

He had sought to introduce the policy himself, but then dismissed it.

Chris Ruane Portrait Chris Ruane
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I thank the hon. Gentleman for that intervention. He is right. Labour did many good things. We curtailed advertising. We introduced the ban on smoking in public places. But we did not do enough and we need to do more. When I spoke about this package at an anti-smoking do in Parliament, JTI—Japan Tobacco International—had a spy in the room and wrote to me afterwards, saying, “Mr Ruane, you’ve got it all wrong. These are called 14s because there are 14 cigarettes inside the packet.” It was a Miss Laura Oates who castigated me and she went on to criticise the Labour Government for not doing enough on proxy purchasing.

I agree: I think that we should take up Miss Laura Oates’s cry for more pressure on the tobacco industry and concentrate on that. This is just one step in the campaign to cut and then eliminate smoking in the UK. Thanks go to Laura Oates for suggesting other campaigns as well. I think that we should have a whole string of them over the next 10 years. It should be a long-term policy to—

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Stephen Williams Portrait Stephen Williams
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The hon. Gentleman has spoken, so I will follow the Chair’s mandate and not give way.

Other people are lobbying against the policy, such as Unite the Union. I took part in a debate during the recess on BBC Radio Bristol with a shop steward from the tobacco packaging factory in east Bristol. He said that if legislation went ahead that factory would lose hundreds of jobs. I say to the hon. Member for North Antrim (Ian Paisley) that I see no problem at all with being a constituency MP—Imperial Tobacco, one of the largest tobacco companies in the world, is based in Bristol—and arguing against the tobacco trade, because tobacco kills people in my city and kills people from poorer communities. It is a public health tragedy that smoking now disproportionately affects poorer people in society. The middle classes have largely followed all the health warnings and given up smoking.

Ian Paisley Portrait Ian Paisley
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rose

Stephen Williams Portrait Stephen Williams
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As I mentioned the hon. Gentleman, I will give way.

Ian Paisley Portrait Ian Paisley
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I have no problem with that, but I must ask the hon. Gentleman whether he takes the same approach to the alcohol trade. I accept that cigarettes kill, but that is not the argument. The argument is about illicit trade and the impact on jobs and employment. That is where the argument is and where we need to look. We need to get the evidence that shows that plain packaging will do what it says on the tin: stop people from smoking; it will not.

Stephen Williams Portrait Stephen Williams
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There is a big difference between alcohol and tobacco: alcohol consumed in moderation will not kill someone; smoking tobacco, whatever the strength, over a long period, will shorten your life. That is a fundamental difference.

As hon. Members have said, tobacco is already one of the most regulated trades. So why regulate further? Because regulation has been proven to work. Over the past 50 years, with restrictions on tobacco advertising, sponsorship and points of display, health warnings and NHS cessation programmes, we have seen the rate of smoking drop from more than half of adult males in the late 1960s, when I was born, to about one-fifth now. We know that state intervention works, but tobacco companies need a new generation of susceptible young minds to take up the addiction.

I am deeply disappointed with my Government for stalling. I know that the Minister’s heart is in the right place and I feel for her on this occasion. The Government have not acted, so there is an opportunity for Parliament. I remember Patricia Hewitt in the previous Parliament defending, almost until the last minute, the partial ban on smoking in public places. That Parliament imposed a comprehensive ban on smoking in public places. I hope that this House or the House of Lords will act in the same way in this Parliament.