Tobacco and Vapes Bill Debate
Full Debate: Read Full DebateBaroness Walmsley
Main Page: Baroness Walmsley (Liberal Democrat - Life peer)Department Debates - View all Baroness Walmsley's debates with the Department of Health and Social Care
(1 day, 11 hours ago)
Grand Committee
Lord Johnson of Lainston (Con)
My Lords, I am sorry, but we will have to wait a few more moments for the noble Baroness’s excellent speech, which I know is coming filled with logic and reason.
I want briefly to speak in favour of many of these amendments. I echo the points made by the noble Lord, Lord Dodds, on the importance of the validity of the evidence relating to the TPD. Does the Minister feel that this legislation is in the spirit of the Windsor Framework? It may be technically in line with it, but is it in the spirit of it to have two totally different trading environments on the island of Ireland? I am not sure whether information relating to the potential objections from member states to this is published and can be accessed. What can the Government tell us about the objections and the information that we can gather around that? If the Government will not accept these clear, simple and reasonable amendments, why not?
Creating a smoke-free generation is extremely groundbreaking and novel, fundamentally trampling on the human rights of an adult to make a free decision. This is seismic, though I disagree entirely with it. Many in the Committee believe in this and I have the greatest respect for the Minister, but it is a significant move away from all the liberties that this Parliament and Parliaments over many centuries before us have tried to protect. If we go down that path, it is important that there is true validity, that every option has been explored and that all the legal issues have been thoroughly explored. If not, you will lose the cultural change, which is what this is about. This is not just a technicality, about trying to change the law to reduce some act. It is a huge cultural change, changing the activities of people in this country. If it is done in a nefarious or opaque way and there are further complexities with endless legal challenges, it will lose its impact. It is important that we are open as to where the problems are and that we understand them better. Simply being told that everything is okay is not good enough.
I support the amendment tabled by my noble friend Lord Murray and will follow on from the well-made points from the noble Earl, Lord Russell. The Better Regulation Framework is an important component of how government functions. I challenge any Minister to explain to me what the Better Regulation Framework actually contains; I am afraid that I have never seen an example of it being properly followed. The key component is not just the nature of proportionality, which many laws simply do not fulfil, but the principle around a review of the effectiveness of regulations, their costs and impact. I have never seen a post-implementation review of any regulations; I am sure that they must exist somewhere, but I do not know how useful they are. In this instance, a review must go into the legislation in a very clear way. We must ask how we will assess whether this has been a success and we must establish now what that means. We should also make sure that we have some type of sunset, to ensure that there is a sense of focus.
The noble Earl, Lord Russell, mentioned the costs of implementation. To that I would add—forgive me if I misheard him—the effects on crime; whether the illegitimate marketplace has increased significantly, which we would expect; and whether it has actually worked. The amendment tabled by my noble friend Lord Murray has great logic, because if we were to create a smoke-free generation, surely all these excessive regulations, checks and so on will not be required, as no one will be engaging in tobacco usage of any sort.
I am aware that some of the amendments that we have put down challenge the principle of creating a smoke-free generation. We believe in them but, in this instance, we are looking at pieces of additional legislation that will make the Bill better. If the Government truly believe in their ambitions, our amendments will make them more likely to succeed.
My Lords, I strongly support my noble friend Lord Russell’s Amendments 195 and 196. As he said, they intend to support the core principles of the Bill and ensure effective delivery. It is one thing to legislate; it is quite another to deliver and even to implement. I am currently involved in following measures that were put into legislation through the Health and Care Act 2022, which have still not been implemented. We must make sure that things like that are properly implemented.
Whatever the Government’s intentions are now, when the facts change a sensible person changes appropriately, albeit along the same core principles. A number of potential barriers along the way have been suggested by noble Lords as we have debated the Bill, including today, such as an expansion of the illicit market; the possible clever responses of the tobacco industry to get round the intention of the Bill to protect young people and achieve a smoke-free generation; and technical issues such as age-gating, age verification and so on.
Although the Bill gives the Government wide powers to act, my noble friend’s points about having two reviews, to which his amendments would mandate the Government to adhere, would give naysayers confidence that any unintended consequences would be dealt with either by the Government using the powers in the Bill or by introducing further legislation if necessary after the reviews.
I particularly support my noble friend’s inclusion of nicotine use in his request for reviews. Although the use of vapes as a quitting tool has already been shown to be effective, we all know that they have been taken up by large numbers of young people who have never smoked tobacco. However, the industry is still very young and there is still little evidence about the effect of both the flavour additives and the long-term use of nicotine on the young brain and lungs. Over the coming years, that evidence will emerge one way or another. We already know how addictive nicotine is and that it can make people feel stressed, restless, irritable and unable to concentrate. That is problematic for children in school, which is the very reason why sales of nicotine vapes are banned for under-18s, although illicit sales to younger people are really problematic for teachers.
We also know that nicotine leads to short-term increases in heart rate and systolic blood pressure; as I understand it, that is why tobacco pouches are endemic among professional footballers before a match. Unfortunately, this habit is being copied by many of their young fans. Some use several of them, resulting in dizziness, nausea and, in a few extreme cases, fainting. We do not know about the long-term effects of the use of nicotine by very young people, as the research focuses on users of legal age; this is the sort of thing that may emerge over the next few years. As to the future, we will see how well vapes and other nicotine replacement therapies work as quitting tools. We need to be sure that the legislation will respond to this and other evidence.
These two age points are significant since they have been suggested as an alternative by some opponents of the generational escalator in the Bill. Why not, they suggest, simply raise the legal age of sale to 21 or 25? A promise of reviews at these age points will help encourage those people to support the Bill as it stands, so I hope that the Minister will accept these two amendments; I prefer them to the amendment in the name of the noble Earl, Lord Howe, except that I certainly support his reference to small businesses. I am sure that noble Lords will know about these matters from previous debates, but perhaps we could put our heads together before Report.
On the amendments in the name of the noble Baroness, Lady Hoey, regarding the EU’s Technical Regulation Information System and the standstill period that now impacts on the Bill, it is important to note that several EU countries, such as Greece, Romania and Italy, object pretty routinely to all tobacco control legislation in the EU. There is no new information today that is cause for concern regarding this Bill.
On the legal opinion to which the noble Baroness referred, it appears to have been shared with only the Daily Mail—it certainly has not been published—so I am unable to take a view on it; besides, doing so is probably beyond my skill set and pay grade anyway. I just hope that the Minister has good legal advice.
There is a point to be made here, however, about how the UK seems to have found itself in the worst of both worlds, with EU states being able to object to legislation that we wish to bring in to protect the health of our nation but with us having none of the benefits of being a member. That is a point for another debate, though. I hope that the Minister can confirm that any such objections will not be binding on the UK; and that this sovereign Parliament will be able to push ahead with this important legislation.
I turn to Amendment 216 in the name of the noble Lord, Lord Murray of Blidworth. He appears to be expecting a different Administration in the next Parliament; I will leave it to the Minister to reply to the noble Lord’s comments.
My Lords, I will speak briefly to this group of amendments, which centre on three linked themes: the need for careful, joined-up policy-making; the need for proper review; and the need for clear accountability on how this Bill will work in practice once it becomes law.
In her Amendment 114B, the noble Baroness, Lady Hoey, directs the Committee’s attention once again to the issue of the Bill’s compatibility with the provisions of the Windsor Framework. I am glad that she has done so because I agree with my noble friend Lord Johnson; with no disrespect to the Minister, I felt that her reassurance on that question in our earlier debate was more of an assertion than a reasoned explanation.
The noble Baroness, Lady Hoey, and the noble Lord, Lord Dodds, are quite right that there is still considerable uncertainty and anxiety around the Windsor Framework issue. The noble Baroness quoted the opinion of the former Attorney-General for Northern Ireland, John Larkin KC; I will not repeat it, although I have those words in front of me. Like the noble Baroness, I am very concerned by his unequivocal statements on this question. Surely it is imperative that the Government can clarify exactly how the Bill will work in practice. It is not good enough to say merely that it will work; we need to know how it will work and how the concerns raised by legal experts such as Mr Larkin will be addressed.
An authoritative, independent legal opinion would give us much greater confidence on this point. Indeed, the question of legal compatibility has a direct bearing on the other amendments in this group, which pertain to Northern Ireland; we will listen very carefully to what the Minister says in response to those.
I wanted to intervene just to say one or two words in support of my noble friend Lord Moylan’s amendment. In a sense, it challenges the Government to explain what they are trying to achieve, and if that is to regulate flavour descriptors, that is exactly what we should put into the Bill. I think the industry is very aware of the need to control flavour descriptors, because certain descriptors can be intentionally directly attractive to youth vapers and children, and the industry knows it needs to act on that. I will talk about that a bit more later.
We should use this amendment and this debate to find out what the Government are trying to achieve, and I hope the Minister will give an explanation. If the intention is to go down the path of, for example, the Australians or the New Zealanders, with a very narrow control of vape flavours, we run exactly the risk that the noble Baroness, Lady Fox, was just talking about. As she said, the academic research on restricting vape flavours shows that that leads to vapes not being as effective at smoking cessation as we want them to be. That is an important consideration.
I could not explain it to anybody in detail, but I remember how the uncle of a good friend of mine when I was a boy was a flavour scientist at Bush Boake Allen, now part of International Flavors & Fragrances, and there is a very precise relationship between the chemical additives that can be added to products. Of course, there were no vapes in those days; he was working on crisps. On one occasion we went to their house, and they provided for us the very first occasion on which anybody ever tasted prawn cocktail-flavoured crisps. That was a remarkable moment in one’s early life, never to be revisited.
The point is that the relationship is modulated by these companies extremely carefully. So, it is possible to regulate it, but it is quite an intrusion into an industry to think that we should need to do this. I suspect that my noble friend is on to exactly the right issue in saying that, if we regulate the descriptors, we will have done the thing that it is most important for us to achieve.
My Lords, I support my noble friend Lord Russell’s Amendment 146. It seems to me both sensible and essential to set the groundwork, as he put it, for further work on defining vape flavours—keeping in mind at all times the Government’s intention, which we support: to allow vapes as an effective, proven tool in quitting smoking tobacco while at the same time addressing the egregious activities of the tobacco industry vis-à-vis young people. It has used colours, flavours, images, packaging and marketing to encourage young people who have never smoked to take up vaping. We know that, once hooked on the nicotine in these products, it will be very difficult for these young people to wean themselves off them when they want to. We also know that evidence of real and lasting harm will continue to emerge over the next few years, and that is why the work to define flavours is so important and why I support this probing amendment.
I am one of those nerdy people who, when they go shopping at the supermarket, takes a little magnifying glass with them. I strongly suspect that the “banana ice” vape of the noble Baroness, Lady Fox, and the “mango ice” vape of the noble Lord, Lord Moylan, have never been within five miles of a banana or a mango, and that anything called “raspberry fizz” will never have been within five miles of a raspberry. These things are put together. They do not contain any raspberry, mango or banana; instead, they contain a whole mix of chemicals. It might be more honest to label them with, “This vape tastes a bit like banana, but it contains the following 15 chemicals”, but you cannot do that, can you? Hence the Government’s problem.
As with the other amendments in this group, Amendment 142 would open the way for the Government to include big-puff vapes and other technical measures in regulation—perhaps things such as age-gating at some future point—but it would not mandate them to do so. So, I would certainly not oppose it, although the Minister might tell us that the Government can do all this without the amendment.
Amendment 144 could inadvertently restrict the Government’s opportunity to limit the number of flavours. I would not want to do that, so I do not support this amendment, but I would like to see the Government allow a reasonable range of flavours to help people who use vapes or who are quitting smoking, for the very reason indicated by the noble Baroness, Lady Fox: smokers like the fruity flavours, which certainly help them. That would be a very good thing. I really do think that allowing only a tobacco flavour would be a bad idea, because tobacco is the very thing that smokers want to get away from.
I very much look forward to the Government’s response, particularly to my noble friend’s amendment.
My Lords, I need to start with some apologies to my noble friends Lord Mott and Lord Udny-Lister because I have to express a measure of caution on Amendment 142, which would increase the power of Ministers to make regulations on the sorts of products that can be banned by extending the scope of Clause 90 to include design and interoperability.
Although I recognise the intent behind the proposal, the problem here is nailing down exactly where the truth lies. One hears from a number of people that so-called high puff count vapes are inherently harmful and are, therefore, to be regulated or prohibited. My noble friend Lord Udny-Lister certainly indicated that that was his view, but it is nevertheless striking that the briefing I received from ASH regards this amendment as unnecessary. If the Committee will forgive me, I will just read out a section of it:
“Concerns regarding larger big puff products may be unfounded. There is no current evidence to suggest that these might increase harms or pose additional risks from products containing less liquid. It is possible that larger-volume products could have benefits in terms of satisfying consumer demand for longer-lasting products, reducing environmental impact and increasing the price point of initial purchase without unduly raising the price per puff for those using them to quit smoking”.
I find that a little baffling, and it would be very helpful if we could hear from the Minister the official view of these high puff count devices.
May I make a suggestion? It seems that we are trying to find out whether it is the Government’s intention to regulate flavours—that is, to determine which chemical additives can or cannot be added to vapes, which would end up determining what flavours are allowed—or whether it is the Government’s intention to regulate the description of flavours, meaning which flavours are to be “described”, “characterised” or any such word. We do not yet know what the Government’s intention is. If the Government want to retain the power to do both, I submit that they need to specify in Clause 91 that they will have the power to do both.
Before the Minister answers that, may I ask her another question? Which agency regulates and licenses the various flavours used in vapes? Is it the Food Standards Agency or some other agency?
I apologise but I, too, want to make a brief point. I welcome the fact that the Government are conducting a review and collecting evidence; that is good. I hope that those things will be used to make fundamental, good policy. However, there is a tension here because we could have a situation where flavours are appealing both to children, whom we do not want to take up vaping, and to ex-smokers, whom we do not want to go back to smoking because we have taken flavours away. What I have not heard the Minister say is that there will be an examination of price in that gathering of evidence. Doing more to raise the price of vapes, keeping them out of the territory of pocket money, is important in making sure that young children do not get access to these products. I encourage the Government to include that in their call for evidence.
My Lords, I want to dispose of this very quickly. I must start with an apology because I am trespassing greatly on the indulgence of the Committee; I must also declare a non-interest by making clear that I do not have an interest.
This amendment is very awkwardly and almost misleadingly worded, as it is limited by scope and reasons; I am perhaps trespassing beyond the scope of the Bill in raising this matter at all. That is the first thing I have to say. The second is that I am advancing this argument on behalf of a firm, Allen Carr’s Easyway, which is deeply involved in the smoking cessation business. I have no financial or other interest in the firm; in fact, apart from email exchanges, I have never met the people involved, as far as I am aware.
I wish my noble friend Lord Bethell were here—he does apologise. As a former Health Minister, his experience is that Allen Carr’s Easyway is a firm that does tremendous work in the field of smoking cessation. It produces books and booklets that encourage and inspire people and facilitate them, psychologically, to stop smoking. It also runs seminars and other in-person group sessions. When I gave up smoking three years ago, it was partly with the help of a copy of one of its books, which was given to me as a present by my sister.
It is also—this is perhaps the crucial factor—one of the four different smoking cessation methods recommended by NICE. It is not only recommended: the guidelines for local smoking cessation services which receive government funding say that there are four different smoking cessation methods that local stop smoking services must ensure are accessible to adults who smoke. They are behavioural interventions; medicinally licensed products, including nicotine replacements; nicotine-containing e-cigarettes; and Allen Carr’s Easyway in-person group seminars. However, it is the case that, throughout the country, most stop smoking services do not offer Allen Carr’s support as one of those options; they go for the easy options, if you like, of nicotine replacements and e-cigarettes.
The crucial difference is that, if one stops smoking in the old-fashioned way, one gives up not only cigarettes but nicotine. If, as some of us have found, you move from cigarettes to vapes or other nicotine-replacement devices, you may give up smoking, which may be very good for you, but you do not break the habit or the addiction to nicotine. It is much easier for the local stop smoking services to encourage that path, and so very often they do not follow the NICE guidelines, despite the fact that they are required to.
The Government provide, I believe, about £150 million a year in grant funding for local smoking cessation services. My request is that the Government make it a condition of those grants that all the NICE-recommended methods be supplied by the local smoking cessation service before it receives a grant. I do not expect the Minister to give that commitment at the Dispatch Box today, because of a lack of preparation—I have given her no warning of what I was going to say—but I hope she will be able to write to me and say that that will be a course that the Government will want to follow. If necessary, I am very happy to facilitate a meeting between her and the people from Allen Carr’s Easyway, so that they can describe the good work they do and explain the difficulty they have in reaching smokers through local smoking cessation services, despite the requirement placed on them to facilitate that. I beg to move.
My Lords, I shall say a few words in support of Amendment 147 from the noble Lord, Lord Moylan. I think his intention is quite correct for the following reason. Many of those who wish to stop smoking want to be released from the addiction to nicotine altogether, as they did in the old-fashioned way, as he has just said. They do not just want a less harmful nicotine hit. It is an expensive and harmful addiction, particularly for the developing young brain, yet we are told that many young people are becoming addicted to nicotine through vapes and tobacco pouches, and there is no help for them to quit in many places. As the noble Lord said, NICE guidelines list four services that should be available, including behavioural interventions and in-person group sessions, to help people quit, as well as nicotine-containing replacements for tobacco, which are available in most local stop smoking services. I have received a briefing from Allen Carr’s Easyway, although I have never come across the company before.
There is some evidence that some people who manage to stop smoking tobacco by using a nicotine replacement go back to smoking tobacco in the end. Quitting nicotine altogether has been shown to be more sustainable; people go back to smoking less often when they have managed to kick the nicotine habit as well. I assume that that is why NICE has recommended that services to get off nicotine addiction must be offered as well as vapes and patches. I note that, in its guidelines, NICE does not say “should” or “could”; it says “must”.
The ultimate role of NICE is to ensure that people across the UK have access to the most effective and cost-effective treatments and services; that is why it says that all four methods of quitting should be available. It may be much easier, quicker and even cheaper just to hand out patches and vapes—it is certainly much more difficult to arrange behavioural therapies and group therapies—but, for some people who want to quit smoking, it is more effective for them to have behavioural therapy, group therapy and the help of Allen Carr’s Easyway. That company must be good, authentic and of a high quality if it is recommended by NICE.
I certainly support the intention of the noble Lord, Lord Moylan, in his amendment.
My Lords, I cannot put it better than the noble Baroness, Lady Walmsley, has just done in relation to the recommendations about Allen Carr’s Easyway, which has been warmly endorsed by NICE in its guidelines. This is one of the four interventions that NICE recommends. The content of those guidelines should now be underlined for NHS smoking cessation clinics, to ensure that, exactly as the noble Baroness said, there is an option for those who do not want to remain addicted to nicotine when they elect to stop smoking.
I hope that the Minister will take this amendment away with her; I am grateful to my noble friend Lord Moylan for raising this issue. I say to him that there is probably another dimension to his amendment, if one takes literally the wording around what constitutes an appropriate level of nicotine in vapes. We have heard from the Minister that there is a power to regulate this in the Bill. However, again, we have a tension here: on the one hand, there are obvious arguments in favour of limiting the strength of nicotine in vapes that are used recreationally; on the other hand, we want vape dosages of nicotine to be strong enough to satisfy the addictive craving of someone who is hooked on smoking tobacco and who does not wish to go down the Allen Carr route. If you make the dosage too weak, the patient will simply revert to their former harmful habits.
My noble friend’s amendment is also useful in the sense that it would enable us to hear from the Minister how the Government propose to reconcile those dual objectives and the potential difficulties that face policymakers in attempting to regulate nicotine strengths. This short debate has brought us to an interesting point in the smoking cessation arguments. I look forward to what the Minister has to say.