Smoke-free UK

Bob Blackman Excerpts

Thursday 15th October 2026 Westminster Hall

[Bob Blackman (Harrow East) (Con) [R]]

I beg to move,

That this House has considered progress towards a smokefree UK.

It is a pleasure to serve again under your chairmanship, Ms Vaz, and to open the debate. This is a vital topic, and one I am proud to have campaigned on for many years—probably more than I care to remember. I declare an interest as co-chairman of the all-party parliamentary group on smoking and health. Since I was elected, it has been tremendous to see the progress we have made on combating smoking and, indeed, increasing the health of the population generally.

Last week, new smoking prevalence data showed that, for the first time, less than 10% of the UK population smoke. We are worlds away from the 1970s, when almost half the population smoked. We certainly do not want to go back to that position. However, there is still some way to go, and this debate is an important reminder that the job is not done. Although we are making excellent progress, including with the passage of the Tobacco and Vapes Act 2026 earlier this year, we should not say that the job is done.

Smoking remains one of the leading causes of premature death and disability in the UK. It is responsible for around 80,000 deaths every year. Cancer Research UK says smoking is responsible for around 160 cancer cases every day, or 57,700 cases each year. Tobacco is a uniquely harmful product. It can kill up to two thirds of lifelong users and is responsible for at least 16 types of cancer.

The impact goes beyond health. Around one in nine working-age adults in England who smoke are out of work because of ill health or disability. That is around 700,000 people. The NHS continues to feel the pressure, with around 100 GP appointments every hour linked to smoking-related illness. In fact, the total cost of smoking to society and the economy in England alone is estimated at £44.8 billion a year.

Smoking is still a huge problem, but it is one that it is within the Government’s power to fix. Cessation services, mass media campaigns and changes to the age of sale are all tools that can be used to achieve a smoke-free country.

This Government have shown admirable ambition in bringing back the smoke-free generation policy originally proposed by my right hon. Friend the Member for Richmond and Northallerton (Rishi Sunak). I and many others worked so hard behind the scenes to get that policy on the radar—in fact, I am still waiting for his thanks for the speech I made in this Chamber before he announced the policy at party conference.

That policy is transformative when it comes to stopping young people starting the habit, saving them from a lifetime of addiction and ill health. However, it does not do much for the 4.9 million people who currently continue to smoke. The previous Government had a clear plan to end smoking, which expired in 2022, but also a national smoking prevalence target of 5% by 2030. Even with recent progress, it is unlikely that that target will be met.

Concerningly, we are seeing more young people take up smoking and particularly vaping. The Teachers’ Union Behaviour in Schools survey found that 16% of pupils vaped during class—I find that hard to believe. It found that 62% of pupils repeatedly left lessons to vape, and that 39% of teachers had encountered pupils unable to concentrate because they were distracted or affected by nicotine, although I suspect the figure is actually even higher. It also found that 32% of teachers had observed peer pressure on non-vapers to vape. Schools have an important role in educating children and young people about the risks of smoking and nicotine use, preventing use on school premises and supporting children who need help. However, schools cannot be expected to solve a wider public health and regulatory problem.

When asked if Smokefree 2030 is still the Government’s target, various Ministers have responded by saying that the Government are “going even further” by creating a smoke-free generation. With respect, the previous Government also legislated for a smoke-free generation while having a target for current smokers to quit. Cancer Research UK has already found that England is not on track to become smoke-free by 2030, and smoking rates remain much higher in more deprived communities.

The Government must go further and faster or set a new target and publish a clear road map for reaching it. Can the Minister tell us what her ambitions are for reducing smoking and whether she will look at introducing a target for reducing smoking to not just 5% but below 1% in all communities across the UK? We need an ambition for current smokers that matches the ambition for the smoke-free generation of “Stopping the start”.

Targets can be a helpful tool for focusing attention on a particular area of importance. We have seen that through the truly remarkable success in reducing smoking rates among pregnant women—something I have campaigned for a long time. The last Government just about achieved the objective, and smoking pregnancy rates are now at their lowest rate ever, at just 4.2%, down from 9.6% in 2020. That means that more than 70 babies’ lives have been saved through preventing stillbirths caused by smoking during pregnancy. We are currently in Baby Loss Awareness Week, which demonstrates the importance of this issue.

Once again, the previous Government set a clear national target, designed targeted policies, including financial incentives, and integrated them into existing pathways—and it worked. I am so pleased that this Government have committed to continue funding financial incentives for pregnant women, but I also want us to learn lessons from that success. What we have achieved with pregnant women can be a blueprint for other at-risk populations. I hope the Minister will meet the all-party parliamentary group on smoking and health, as well as Action on Smoking and Health, to discuss how this approach can be applied to other at-risk groups as a road map to a smoke-free country.

I was really pleased that £5 million in financial incentives for pregnant women have been maintained for the next three years. That investment, alongside the £153 million for local authorities through the public health grant and funding from ICBs, means that more money is being invested in cessation support than ever before. However, ICB budgets are no longer being ringfenced, which means there is a risk that services are decommissioned, as we have seen in parts of the country, or see their funding reduced in NHS settings.

The Labour manifesto pledged to introduce opt-out cessation support in all in-patient settings. Can the Minister clarify what progress has been made on that manifesto pledge in this Parliament? Is the funding going to the NHS enough to deliver on that pledge? Has her Department been monitoring potential reductions in services due to ICB reductions? Will she ensure that cessation funds within the public health grant continue to be protected by ringfence?

Of course, there are broader activities, beyond cessation support, that reduce smoking rates. Mass media campaigns are one important part of the puzzle, and it would be good to hear how much is being spent on them. I would also like to hear from the Minister what plans she has to communicate the smoke-free generation to the public via a media campaign. Those are clear ways of reaching all sorts of people.

The good news is that we can be ambitious. We have at our fingertips a source of funding that is as yet untapped: a levy on the tobacco manufacturers, which would raise an estimated £5 billion over five years. The model that the APPG put forward would not allow that to be passed on to consumers. It is something of a unicorn policy, in that it raises revenue and is hugely popular with the public. Around 76% of adults in England support a levy, and the proposal enjoys majority support from voters from all political parties, with only 7% opposed.

The Prime Minister has indicated that he wants to review business rates to raise revenue from businesses that

“do not make a positive contribution to…communities.”

If that is the case, big tobacco should be first in line. It is right that those responsible for the huge costs of smoking to our society, our NHS and our population’s health are the ones picking up the bill, not the taxpayer. I hope the Minister will seriously consider this proposal and suggest it to the Chancellor for his Budget in a couple of weeks’ time.

We must all be careful to call out the continuing interference by the tobacco industry in today’s world, particularly in politics. British American Tobacco sponsored Reform’s party conference, where its “inconvenience store” was plastered with a series of “shocking” mock health warnings. Reform’s party leadership have made it very clear that they support big tobacco being able to continue to sell lethal products to the next generation of children. They are completely out of touch with the public, but also with their own voters, who overwhelmingly support ending the devastating harms of tobacco in this country.

To be clear, there has always been a strong level of cross-party support on issues such as tobacco control and reducing smoking rates, as the Leader of the Opposition’s conference speech showed, and that should continue, both for health and due to the economic costs. It is disappointing that some parties in particular reject that and are all too willing to listen when money gets thrown around.

We have to remember that at the heart of this issue there are still 4.9 million smokers. They are our friends, family and colleagues, and many are absolutely desperate to quit but stuck in a steady cycle of addiction. Our all-party group was recently delighted to host a roundtable with the APPG on poverty and inequality to discuss the links between smoking and deprivation. My friend and co-chair, the hon. Member for City of Durham (Mary Kelly Foy), will share some of the discussion in her speech, but I want to reflect on how impactful it was to hear from those with lived experience. We heard from an ex-smoker, a mother, that her addiction to tobacco was so strong that she would buy cigarettes before buying food for her children. Tobacco came before everything. That cannot be acceptable in today’s society. We also heard from Dr Liam Loftus, who is delivering smoking-cessation support at Cambridge city food bank. He is not waiting for smokers to find him but going to where they are already seeking support and being proactive.

A road map—a clear plan—could help us to learn from pockets of best practice and to scale up interventions that truly turn the dial on smoking rates in this country. I look forward to hearing the contributions from colleagues and, indeed, from the Front Benchers, and I trust that we can continue to work towards eliminating smoking in this country.

--- Later in debate ---

[Bob Blackman]

It is pleasure to follow the Minister, and I thank her for her comments. I also thank colleagues from across the House for their contributions to this vital debate.

I want to say a couple of things in response to what the Minister and colleagues have said. We have to be cautious about our position on vaping. We do not yet know the long-term impacts on health of vaping, but the first evidence is coming through that vaping does harm lungs. The delivery mechanism of the vape is key. We should be very cautious about that process. I agree with the principle that vaping is a means for smokers to give up, but people who do not smoke should not start vaping. That message has to go to young people in particular, who I think are really harmed by vaping.

Both of my parents died of cancer caused by smoking back in 1979. The advice that they were given as young people was that smoking was healthy. We have to remember that we have a duty to our next generation to ensure that they do not go down the route of believing that vaping is healthy. I agree completely that what we have done in the Tobacco and Vapes Act is give as many hooks as possible for the Public Health Minister to bring in measures.

Licensing is complex, and it is going to take some time to introduce it, but that does not mean that we should not move forward on advertising and other measures. We can decouple those as we go.

These debates have always been led from the Back Benches. We have forced Governments of all persuasions to make changes, and the Minister will know that we are a formidable force who will continue to hold her to account.

[Valerie Vaz (in the Chair)]

I thank Members: we got everyone in, and we did not have to suspend for the vote.

Question put and agreed to.

Resolved,

That this House has considered progress towards a smokefree UK.