Smokefree 2030 Target

Andrew Gwynne Excerpts

Tuesday 20th June 2023 Westminster Hall

[Andrew Gwynne (Denton and Reddish) (Lab)]

It is a pleasure to see you in the Chair, Mr Sharma. At 9.30 am, it would have been a pleasure to see anybody in the Chair. I place on the record my thanks to you and Mr Evans for stepping into the vacancy. I congratulate the hon. Member for Harrow East (Bob Blackman) and my hon. Friend the Member for City of Durham (Mary Kelly Foy) on securing this important debate and on their tireless work on this issue. When we create a smoke-free England—the consensus here today is for a smoke-free Britain—it will be in no small part thanks to their tremendous efforts and campaigning.

I also pay tribute to my hon. Friends the Members for Birmingham, Erdington (Mrs Hamilton) and for Blaydon (Liz Twist), and the hon. Members for Southport (Damien Moore), for Strangford (Jim Shannon) and for Arfon (Hywel Williams), as well as the hon. Member for Linlithgow and East Falkirk (Martyn Day), who leads for the Scottish National party on health issues. There is consensus across the Chamber on where we need to go.

In 2019, the Government committed themselves to a Smokefree 2030. As Members across the House will be aware, that means a smoking prevalence of around 5% of the population. The commitment was welcomed across the House, and for good reason: despite significant progress in driving down smoking rates over the past 40 years, smoking, as we have heard today, is still the biggest cause of cancer and death in the United Kingdom. Smoking causes around 150 cancer cases every day, and smoking tobacco kills one person every five minutes.

Those deaths are made all the more tragic by the fact that they are avoidable. By creating a smoke-free England, we would empower people to live happier, longer and healthier lives, and substantially reduce pressure on our NHS, as Cancer Research UK estimates that up to 75,000 GP appointments could be freed up each year if we put an end to smoking. That would all come alongside substantial economic benefits, as smoking costs the public finances an estimated £20.6 billion. The argument for a smoke-free future is overwhelming. We just need to get there.

In a recent response to a written question I tabled, the Minister stated that his Department is “confident” that it is

“on course to achieve…Smokefree 2030,”

but Cancer Research UK estimates that the Government are, as we heard from the hon. Member for Harrow East, on track to miss their Smokefree 2030 target by around nine years. Smoking cessation services have faced cuts of 45% since 2015-16, and in some of the most deprived areas of England, smoking rates are increasing, not decreasing.

That increase is incredibly concerning, and it risks exacerbating health inequalities that are already widening, in some cases at an alarming rate. Therefore, I would be grateful if the Minister explained why his Department is so confident that the 2030 target will be met, and where the Government’s modelling is, as well as why it differs from that of Cancer Research UK.

The announcements the Minister made in April were undoubtedly welcome, but they do not seem to me to be ambitious enough or wide-ranging enough to get us back on track. If that is the case, and if we are to miss the 2030 target, the Department of Health and Social Care needs to fess up and say how it plans to keep its pledge. The truth is that the foot has been taken off the pedal with regard to Smokefree 2030. The Government wasted precious time, and unless they act swiftly the target will be beyond reach. I do not want that. I want the Minister to succeed in achieving the target, and I do not think anybody in the Chamber wants us to miss it.

We need action, so I will press the Minister on a few key points. First, will he confirm whether the Government plan to announce any further measures to tackle smoking prevalence, or whether the April announcement is intended to replace the tobacco control plan and the health disparities White Paper?

Secondly, the April announcement referred to an updated strategy to tackle illicit sales and imports of tobacco due to be released at some point this year. There is a backlog of reports to be published sometime this year. We would like this one to be at the front of the queue, not the back. Will the Minister update Members on where the work has got to and when we can expect publication of the strategy?

Thirdly, the Minister will no doubt be aware that Cancer Research UK and ASH have made several recommendations to the Government, most notably on an increase in the age of sale and a “polluter pays” tobacco levy. I would be interested to hear what recent assessment he has made of those proposals and whether they will inform his Department’s work moving forward.

Finally, cross-Government guidance on protecting public policy from the vested interests of the tobacco industry was published yesterday. That is a step in the right direction, but will the Minister set out how the guidance will be disseminated to all branches of Government, given that it is cross-departmental?

The last Labour Government had a proud history of taking bold action to drive down smoking prevalence. We implemented the indoor smoking ban and took action to tackle cigarette advertising, and we are still feeling the benefits of those policies to this day. We want to continue that legacy and, indeed, the measures that were brought in more recently. That is why creating a smoke-free England within a smoke-free United Kingdom will be an absolute priority for the next Labour Government.

Our recent health mission launch set out the first steps of our road map to a smoke-free Britain. They include making all hospital trusts integrate opt-out smoking cessation interventions into routine care and expecting every trust to have a named lead on smoking cessation, so that every single clinical consultation counts towards health improvement. We would legislate to require all tobacco companies to dispel the myth that smoking reduces stress and anxiety. We would also ban vapes from being advertised to children and instead work with councils and the NHS to ensure that vapes are being used to stop smoking—full stop.

That is just the start of our road map to a smoke-free United Kingdom. The next Labour Government wholeheartedly believe in a smoke-free future, and we will not shy away from taking the bold steps that are needed to protect and improve public health. Until then, we are ready to work constructively and across party lines to build a smoke-free England within a smoke-free United Kingdom. I look forward to hearing how the Government plan to get us back on track.