Tobacco and Vapes Bill

Debate between Baroness Merron and Lord Crisp

Monday 3rd November 2025 Grand Committee

[Baroness Merron (Lab)]

My Lords, I am most grateful for all of the contributions on this much debated set of amendments. I understand the concerns that have been raised.

I begin with Amendment 33 in the name of the noble Baroness, Lady Bennett of Manor Castle, and Amendment 34 in the name of the noble Earl, Lord Russell. Let me turn first to the health arguments that have been put forward. We know that cigarette filters have historically been marketed incorrectly as making smoking safer, and that smokers perceive cigarettes with a filter as being more enjoyable and of lower risk. These points were mentioned by a number of noble Lords, including the noble Baroness, Lady Bennett, and the noble Lords, Lord Rennard, Lord Patel, Lord Bourne and Lord Crisp. However, as with all regulations—I know that noble Lords will understand this—it is important that any measures are based on evidence, are fully considered and do not create unintended consequences. Obviously, that will be a theme throughout the Bill, particularly as we discuss these groups of amendments.

We acknowledge that there is some limited evidence on the health harms of filters, but we are not currently aware of any clear evidence—that is what is not in place—to show that a ban on filters would lead to a reduction in smoking rates; of course, that is the focus of this Bill. When it comes to encouraging existing smokers to quit—the noble Baroness, Lady Bennett, rightly highlighted this area—we are prioritising investing in local stop smoking services, delivering smoking cessation campaigns, delivering access to nicotine replacement therapy and introducing positive, quit-themed pack inserts. I was glad to hear support for such measures from the noble Lord, Lord Rennard, and the noble Baroness, Lady Walmsley. On that point, I want to refer to effectiveness, particularly as the noble Baroness, Lady Walmsley, made the point that such inserts might simply be discarded. The modelling suggests that, in terms of increased effectiveness because of themed pack inserts, there would be 150,000 additional attempts at quitting. Over two years, this would result in 30,000 successful quitting scenarios, which would reduce the incidence of smoking—exactly what we are focusing on.

The noble Lord, Lord Young, raised the concern that filters allow for flavoured crushballs to be added. I hope that it is helpful for me to say to your Lordships’ Committee that this Bill gives the Government the power to regulate flavoured tobacco products, herbal smoking products and cigarette papers, as well as any product that is intended to be used to impart flavour; this could include flavoured accessories, such as filters.

I turn now to the environmental concerns raised by a number of noble Lords, including the noble Earl, Lord Russell, and the noble Baronesses, Lady Bennett and Lady Walmsley. It is the case that cigarette butts are the most littered item in the UK. They are a blight on our streets and our communities. They take a long time to degrade, and they leach toxic compounds into the environment. The noble Baroness, Lady Grey-Thompson, raised the role of local authorities and the pressure on them because of this littering; again, I certainly take her point. Local authorities have a range of powers to tackle littering, including fixed-penalty notices for some £500. I also see the challenge that the littering of cigarette butts presents to local authorities.

However, ultimately, the most effective thing we can do to tackle tobacco litter as well as protect people’s health is, clearly, to reduce the prevalence of smoking. It is worth referring to the powers available to Defra, which would enable the Government to limit the damage to the environment caused by filters. Although we do not plan to take action in the short term, I assure noble Lords that we will certainly continue to monitor the evidence and keep this under review.

On Amendment 34, we do not believe there is sufficient evidence at present that banning plastic filters will lead to better environmental outcomes, although I absolutely understand the wish for this. Evidence suggests that filters labelled as biodegradable or plastic-free, as the noble Baroness, Lady Walmsley, mentioned, can still take a very long time to degrade in the natural environment and leach harmful chemicals. Studies have also shown that people who believe that cigarette butts are biodegradable are more likely to litter them. We are therefore concerned that a ban on plastic filters could have unintended consequences and undermine attempts to reduce littering, if people incorrectly believe that plastic-free filters somehow do not damage the environment.

[Lord Crisp (CB)]

Before the Minister moves on, can I ask a question that I asked earlier? If she recognises that 75% of smokers think that filters reduce the risk—indeed, they may increase it—does she not think the Government should be doing something to counter that belief, perhaps more actively than they are doing at the moment?

[Earl Russell (LD)]

Before the Minister rises, I welcome the response to this amendment, but the point is that most people still litter their fag butts in any case and believe that they are already biodegradable, so I press the Government to take further action in this area.

Anti-depressants: Cost, Risks and Ramifications

Debate between Baroness Merron and Lord Crisp

Wednesday 11th December 2024 Lords Chamber

[Baroness Merron (Lab)]

I am not specifically aware, but I will be glad to look into this.

[Lord Crisp (CB)]

My Lords, I want to raise the issue of dependency on anti-depressants. As the Minister will know, a lot of people have great difficulty coming off these anti-depressants. It is striking that for those using drugs illegally or with substance abuse, there are many services, but there are no services in the NHS for those seeking to withdraw from anti-depressants. This is a major problem. With that in mind, I ask two questions. First, will the Government consider the delivery of a helpline, which has been called for in a number of reviews, so that people can have some access to help? Secondly, will they support an NHS project designed to introduce withdrawal services within the NHS?

[Baroness Merron (Lab)]

The noble Lord makes an important point about the effects of withdrawal from any medication. I am not sure that this is an exact answer but there is the 111 helpline, which has been expanded to refer to mental health services, so people can ring and ask those questions. However, I take his point about withdrawal. We may wish to consider this as we go towards the 10-year plan.

NHS Continuing Healthcare

Debate between Baroness Merron and Lord Crisp

Monday 2nd September 2024 Lords Chamber

[The Parliamentary Under-Secretary of State, Department of Health and Social Care (Baroness Merron) (Lab)]

NHS continuing healthcare fulfils a unique function within the health and social care system, providing support for people with the highest levels of need by fully funding their health and social care. To monitor its effectiveness, the department works closely with NHS England, the wider sector, such as the Parliamentary and Health Service Ombudsman, and voluntary organisations which represent people with lived experience. This includes assurance work and projects to promote consistency in implementing this care.

[Lord Crisp (CB)]

My Lords, I thank the Minister for her very positive response. As she says, NHS continuing healthcare is vital. However, there are problems. Some of those are about finance, but I want to ask her specifically about the criteria for eligibility both nationally and locally, which are obscure and difficult. First, at the national level, can the Minister define precisely the level of nursing or other health services that a local authority can legally provide and which therefore do not have to be provided by the NHS? Secondly, almost 85% of applications other than fast track are refused, yet people have been encouraged to apply by health and care workers locally. Does the Minister agree that more needs to be done to ensure there is a clear understanding of who may or may not be eligible, rather than wasting so much of patients’, relatives’ and professionals’ time on unsuccessful applications?

[Baroness Merron (Lab)]

I do understand the concerns raised by the noble Lord and agree that we need to take a close look at all these areas. I have already raised that with officials and with Minister Kinnock, who is the responsible Minister in this area. On the second question, there is indeed a relatively low conversion rate, and I understand that the decision was originally made to ensure that everyone who might be eligible is actually assessed. The assessment acts as a gateway to other NHS-funded care but, having looked at it, this could perhaps be made somewhat clearer. On the first question, the noble Lord will understand that I cannot give a definitive answer, and he will be aware that legislation does not limit the number of hours or the cost of nursing care that a local authority may provide. However, the Care Act 2014 sets out that local authorities can provide nursing care only in very limited circumstances—for example, where it is a minor part of overall care, such as basic wound care.