Obesity Strategy 2020

Greg Smith Excerpts

Thursday 27th May 2021 Commons Chamber

[Greg Smith (Buckingham) (Con)]

Obesity is clearly a huge challenge facing our country, and one that absolutely should not be ignored, but I do fear that the state is significantly overreaching in some of the proposals that have come forward as part of the obesity strategy. The approach to foods high in fat, sugar and salt encompasses a perversely broad range of products, including butter, granola, porridge oats, muesli and protein bars, none of which have any particular appeal to or indeed are marketed to children, yet all of which are treated as junk food.

Breakfast cereals were previously heralded for high fibre but are now demonised. No distinction is made for naturally occurring sugars and fats from the dried fruits and nuts that are so often present in those products. If the state is really saying that breakfast cereals are bad, where does that naturally push people? A bacon sandwich? A full English? A pain au chocolat? All are things that I am particularly partial to but that I do not think the public health establishment will be keen to endorse. Perhaps people could have toast? But then we see that butter is on the HFSS naughty list.

Many breakfast cereal producers pay farmers, including in my constituency, a premium for buying their oats, thereby paying for the environmental and wildlife schemes that I am sure we all value. Let us be in no doubt that any policy that reduces cereal-makers’ ability to sell wholegrain cereals will adversely impact on great British farmers.

[Mr Harper]

I was intrigued to listen to my hon. Friend’s list of products. Is not the issue that there is a focus on individual products when, actually, the important thing in getting to a healthy weight is not individual products but a person’s diet as a whole and the balance between individual products across their diet? To demonise individual products is not the way to go.

[Greg Smith]

I absolutely endorse and agree with everything that my right hon. Friend says. It must be about the promotion of a balanced, healthy diet. Some of the things that we all know are not particularly good for us can be part of that balanced, healthy diet, so I absolutely agree.

The restrictions also undermine some alternatives to high-sugar sacks. For example, protein bars are used by many adults who lead highly active lifestyles. Surely the restriction contradicts the ultimate goal of the Government’s strategy: healthier living.

Let me move on briefly to the question of TV advertising. Broadcasters and creative industries throughout the United Kingdom are estimated to be in line to lose some £200 million because of the proposals. With children spending far more time watching online content than traditional TV channels, it is essential, not least for our public service broadcasters, that there is an absolutely clear level playing field between TV broadcast and online. Anything less would be to let down our broadcasters, particularly, as I say, our public service broadcasters.

I would also argue that the 9 pm watershed is equally destined to fail, as research shows that it will lower the calorie intake among children by just 1.7 calories a day, which is simply inconsequential. We need a more proportionate, less interventionist solution that ensures fairness for all. Obesity is a complex problem, but the solution cannot be nannying, ineffective policies.

I certainly did not get into politics to tell people what they should and should not eat, because when people are free to make an informed choice about the way they live, without coercion or state interference, they are much more likely to keep those changes long term, to the benefit of the health of the nation. I urge the Government to rethink the proposals and strip out the nonsensical inclusion of products such as cereals and protein bars. Let us look once more to freedom, choice and personal responsibility.

Covid-19

Greg Smith Excerpts

Tuesday 25th May 2021 Commons Chamber

[Nadhim Zahawi]

I am grateful for the hon. Lady’s question and just remind her that Public Health England makes those decisions for itself: it is not up to the Minister when it releases its data.

On pubs and hospitality, indoor areas of venues—cafés, restaurants, bars and so on—can reopen. In any premises serving alcohol, customers will still be required to order, to be served and to eat and drink while seated. Venues are obviously prohibited from providing smoking equipment such as shisha pipes. It is just to make sure that we do everything we can to limit the ability of the virus to infect others. Within that, reducing social contact is incredibly important. Some businesses, such as nightclubs, must remain closed and follow the restrictions. It is very much about making sure that we work together to control the B.1.617.2 variant, exercising the common sense that the Prime Minister spoke about. The guidance is there to do that. People on the whole have been following the guidance.

On transmission and the effectiveness of the two doses—the hon. Lady’s question on accelerating the vaccination programme—the whole idea of us following the Joint Committee on Vaccination and Immunisation guidelines and advice on vaccination is to be able to vaccinate at scale. We have two big weeks ahead of us and we will continue to focus on the second dose. When people get that text message or the call to bring forward their second dose, they should please take that up, because it is incredibly important in controlling the variant.

[Greg Smith (Buckingham) (Con)]

It is tremendous news that the vaccines that are being so successfully rolled out across our United Kingdom are highly effective against the variant first identified in India, but many businesses continue to be delicately balanced on a cliff edge of either a successful summer or bankruptcy. Does my hon. Friend agree that we need a positive message of hope and certainty that all the evidence continues to back up the complete end of all restrictions and social distancing by 21 June?

[Nadhim Zahawi]

It is good news from Public Health England on the B.1.617 variant that two doses of either Pfizer or AstraZeneca-Oxford are as effective on infection and are very likely to be even more effective on serious illness and hospitalisation in real-world circumstances. Ultimately, we are effectively pursuing an evidence-led strategy. The four weeks plus one—the five-week interval—are for us to be able to assess the data and share it with Parliament and the nation. At the moment, I am cautiously optimistic that we are in a good place. We have to remain vigilant and we have to work together. As I said earlier, let us take the politics out of this and make sure that all our constituents are careful, and we will get there together.

Public Health

Greg Smith Excerpts

Wednesday 30th December 2020 Commons Chamber

[Greg Smith (Buckingham) (Con)]

It is a pleasure to follow my constituency neighbour, my hon. Friend the Member for Aylesbury (Rob Butler).  I have spoken in previous debates on covid about my belief that we need to look for a better balance in our response to what is undoubtedly a horrendous virus. We need greater analysis of the impact of the restrictions that we are asking people to abide by—the detailed analysis that my hon. Friend the Member for Runnymede and Weybridge (Dr Spencer) spoke of so eloquently a few moments ago—to ensure that we have the most proportionate possible response to covid-19.

I have voted with the Government in all the votes on our response so far. I have to say that I did so reluctantly on the last occasion, but I did so on the commitment that we could have a more granular approach—that my Buckingham constituency, which has consistently had lower infection rates than surrounding areas such as the south of Buckinghamshire, could be looked at on its own. Unfortunately, that did not happen, despite the numbers continuing to be low before Christmas. Instead, as my hon. Friend the Member for Milton Keynes North (Ben Everitt) mentioned, we went from tier 2 to tier 4 in just a matter of days. That brought with it significant devastation for business and, I fear, a long-term mental health crisis that will be with us for generations.

I cannot be alone in this House in having received many emails and letters from constituents highlighting that devastation. A restaurant owner in Buckingham wrote to say that a lot of businesses, including theirs, are suffering in silence, some resigned to failure. I have visited wet pubs that are grateful for the £1,000 but, when they are losing £3,500 a week, are in a very grim place indeed.

Perhaps this email from Mrs M will bring it into perspective. She wrote:

“I live alone. I lost my father earlier this year, during the first lockdown. No proper funeral. No family other than my Stepmum. His ashes are still with the undertakers. I haven’t been able to process my grief properly as the rites of passage haven’t happened. I feel as if I’m in solitary confinement without any reason to prolong my…existence.”

Or this from Mrs H, who wrote: “I live on my own and I’ve been self-isolating much of the year. I suffer from complex PTSD as well as diabetes and other disorders. My anxiety and depression linked to my mental health issues are a constant battle, and spending Christmas alone and worrying about my mother has been too much to bear.” I could go on; I have literally hundreds of such emails outlining the level of devastation suffered.

I offer those as examples of why we need that detailed analysis and a real understanding of the impact of the restrictions on real people’s lives, beyond covid. We need an understanding of how it can be that in Buckinghamshire, we went into the second lockdown in tier 1, came out in tier 2 and then had that rapid rise to tier 4, yet with each restriction that has been added it seems that the infection rate has got worse. We need to understand why that is. Why is it that lockdowns do not appear to be working?

As my hon. Friend the Member for Aylesbury mentioned a few moments ago, my local council declared a major incident today. I have talked to our hospital trust, and it is full; it is at a capacity crisis. Likewise, my hon. Friend the Member for Milton Keynes North spoke passionately about the situation at Milton Keynes Hospital, which is used by many of my constituents.

With that in mind, and without the detailed analysis that really shows what these restrictions are doing, I cannot vote for the Government’s measures tonight, but I cannot vote against them either. It is hard for me to abstain, as I always like to be for or against something, but I urge the Minister to bring forward that analysis so that we can move forward with the hope that the vaccine brings.

Childhood Cancers: Research

Greg Smith Excerpts

Monday 7th December 2020 Westminster Hall

[Greg Smith (Buckingham) (Con)]

When the Paul family in my constituency were told of their four-year-old daughter Georgia’s cancer diagnosis, their immediate reaction was not one of shock but of, “We can fight this; she is tough.” To then discover that there was absolutely no treatment was simply devastating for the family. Georgia had been diagnosed with DIPG—a brain tumour. She was enrolled on a trial, but it became clear that there was no chance of saving her. No matter what angle the family approached it from, DIPG is universally fatal, as we have heard already. No child has ever survived it.

DIPG remains the most fatal of all childhood brain cancers, and I fear that is in part due to a lack of funding for research. In seven short months, Georgia went from a happy, active and engaged little girl who loved life to losing her ability to walk, talk or swallow. The 28th November just gone marked exactly two years since Georgia died in her family’s arms, leaving them absolutely heartbroken.

Another constituent, Sue Farrington Smith, lost her beloved niece, Alison Phelan, to a brain stem glioma tumour in 2001, three weeks before her eighth birthday and 10 months after diagnosis. Sue went on to establish Brain Tumour Research, an umbrella group of 22 brain tumour charities that have campaigned to move the dial on funding for brain tumour research. Their campaign led to the establishment of the 2016 task group on research, and they are now working with the Government to see how the £40 million Tessa Jowell fund is spent.

The good news is that, in the past 50 years, there have been dramatic improvements in treating childhood brain tumours. Historically, 75% of children affected sadly died, but now 75% survive. That proves what research can do. In about 70% of cases, radiotherapy, which is the only treatment currently offered to DIPG patients, does shrink the tumour, which allows for a few months of normal life before it returns. Georgia, who I spoke of earlier, was one of the unlucky ones for whom radiotherapy did nothing.

I welcome the fact that improving cancer outcomes, including for children, is a major priority for the Government. I support the £1.2 billion that the Government have put into the cancer drugs fund, which has helped 95,000 people, including children, to access the latest and most innovative cancer care drugs. We have to recognise, however, that in the UK only 20.8% of childhood cancer research is Government-funded, and the rest of the funding comes from charities, the fundraising for many of which has been severely hampered by covid.

Let us commit to providing that new research funding for childhood cancers and ensure that a legal proportion of other funding must be used for childhood cancer research to adequately balance the years of life lost against the relative rarity of conditions. This is about the children who will be diagnosed in the future and who will face the same dreadful, awful news that Georgia and her family did. That will happen year after year, unless funding is allocated to research.

Coronavirus Vaccine

Greg Smith Excerpts

Wednesday 2nd December 2020 Commons Chamber

[Matt Hancock]

We have to make judgments based on what is right, balancing the different considerations we have to take into account, including the yearning that many people have to come together at Christmas, and trying to find a balanced way through. We did that by working with the devolved authorities, and I am glad that we came to a UK-wide approach to Christmas, taking into account all the considerations that were necessary.

[Greg Smith (Buckingham) (Con)]

May I add my voice of congratulation to my right hon. Friend and to the scientists, the pharmaceutical companies and everybody involved in today’s good news on securing that vaccine? However, he will know of my deep reservations on the severity of the restrictions being placed on my constituents through the new tier system. I am grateful for the time he took to discuss this with me yesterday. A big part of my reluctant decision to vote with the Government last night was the promise of more granularity when it comes to the review on 16 December. Can he therefore confirm that, if the numbers continue to come down, the Buckingham constituency can be considered for tier 1 before Christmas?

[Matt Hancock]

I enjoyed the conversations that I had with my hon. Friend on the approach to the Division Lobby. I can confirm that the answer to his question is yes.

Covid-19 Update

Greg Smith Excerpts

Thursday 26th November 2020 Commons Chamber

[Matt Hancock]

Of course, we are constantly evaluating the impact of people isolating, and how many people isolate when asked to. I would encourage the hon. Lady to look at a broader range of studies than just that one from King’s College, especially those dealing with the self-isolation of those who test positive, for whom the rate tends to be higher.

The hon. Lady asked about the use of these lateral flow tests to have a negative impact on the number of cases in an area. Of course, we have been evaluating this all the way through the study in Liverpool, which is why we can have confidence in rolling out more broadly across tier 3 areas. I included in my statement a high-level assessment of this. The number of cases in Liverpool city region is down by two thirds, but in the city itself, where the testing took place—the testing was of people who live in the city and of people who work in the city and live largely in the wider city region—the number of cases is down by over three quarters. That is one piece of evidence. It is clear that it is the combination of people following the rules and community testing, with appropriate incentives to get people to take up that mass community testing, that can help to make this work. We want to work with local directors of public health to understand how this can work effectively in their areas, precisely to reach those hard-to-reach people whom the hon. Lady mentioned.

Finally, I echo the hon. Lady’s request that we be cautious this Christmas. However, I am delighted that we have agreed an approach across the whole UK, including with the SNP Administration in Edinburgh, with the Welsh Labour Administration and the cross-party Administration in Northern Ireland, because there are so many ties that bind us together and mean that we are stronger as one United Kingdom, working together to tackle this virus.

[Greg Smith (Buckingham) (Con)]

It is incredibly disappointing news that Buckinghamshire, having entered the national lockdown in tier 1, will emerge from that lockdown into the more punitive restrictions of tier 2 —a decision that will be hard to understand in the rural communities of north Buckinghamshire that have relatively low infection rates, and one that is hard to understand given that there has been zero consultation between central Government, Buckinghamshire Council and our local NHS. Appreciating that my right hon. Friend has impossible choices to make in order to control this virus, will he commit to ensuring that Buckinghamshire Council and our local NHS are fully consulted as these tiers are reviewed going forward?

[Matt Hancock]

Yes, of course. Along with my hon. Friend, the director of public health in Buckinghamshire was invited to engage with the team as we were looking at the indicators and making this decision. These are difficult decisions; he is right about that. The case rate in Buckinghamshire is 138 per 100,000, and positivity is above 5%. We will review these allocations in a fortnight and then regularly thereafter. I look forward to working with my hon. Friend and supporting the people of Buckinghamshire to do what is right, to get the case rate down and to get Buckinghamshire—if at all possible, and if it is safe—into tier 1, with the lighter restrictions. But it is critical, to keep people safe, that we take the action we need to today.

Covid-19

Greg Smith Excerpts

Thursday 22nd October 2020 Commons Chamber

[Greg Smith (Buckingham) (Con)]

I rise to add my voice to those expressing the urgent need for the Government to develop a plan B in the event that the vaccine that we all hope and pray can be developed and come good does not in fact materialise. I am clear in my mind that if that vaccine is not forthcoming, and quickly, we simply cannot, as a country, go on much longer with the restrictions that we have.

Covid is of course an horrendous disease, and it is right that all reasonable steps are taken to quell its spread, but we must also look, as others have said, at the deprivation of liberty in all our daily lives. We must look at the impacts—despite the unprecedented and enormous support package the Chancellor has put in place—on jobs and livelihoods, particularly for those who have so far been unable to access support, on the health outcomes for those suffering with conditions other than covid, and on the long-term mental health challenges.

As I have reflected on this debate, I have read and re-read many of the emails that I received from my constituents about the impact of the restrictions—real life stories. In my examples, I will maintain the privacy of my constituents by not naming them. Mr W writes:

“At that time I felt the argument being made to flatten the curve and protect the NHS and save lives made sense…and within a matter of perhaps 3 months or so could return to normal and recover. That did not happen and the lockdown cost me my business, it cost me my relationship and worse of all it cost me my health.”

To be clear, Mr W lost his health not to coronavirus, but to a misdiagnosis of a deep vein thrombosis.

I pay tribute to my hon. Friend the Member for Rutland and Melton (Alicia Kearns) on her work around maternity services during the pandemic—a cause highlighted by my constituent, Mrs S, whose husband has been denied access to join her at appointments, not least at the review meeting after an emergency scam following concerns of a heart complication in their unborn child. Mrs S writes:

“I can honestly say waiting for that review meeting with the consultant was the most agonising wait of my life. So much so, I entered the room in tears, unable to control my emotions…when all I needed was the support of my husband”.

What made it all the more complicated for Mrs S was that she could not understand why—in a room that contained a sonographer, the consultants, a midwife and herself—her husband could not be there, given that he works fully from home and does not even leave the house for a weekly shop. She concludes:

“I am sure there are multiple women who…have had to go through devastating news alone.”

I turn to Mrs K, whose son was so excited to go to Exeter University this year, but on arrival has been treated worse than a prisoner in his halls of residence, with sniffer dogs deployed on site to break up groups of students. The isolation of this experience has taken a serious toll on him, leading to him having to return home. I have not even got to the list of the many businesses that, if they have not already gone bust, face the prospect of doing so.

I seriously hope and pray that the vaccine comes good and we can get our lives back to normal. But if the vaccine does not come good, I urge the Minister to consider that serious plan B—thinking about how we learn to live with this virus, looking at work, including that of Dr Raghib Ali, and listening to other ways that we could move forward.

Covid-19 Update and Hospitality Curfew

Greg Smith Excerpts

Thursday 1st October 2020 Commons Chamber

[Matt Hancock]

The hon. Lady makes an incredibly heart-rending and important point. The balance in terms of the rules around visiting those in care homes is one of the most difficult to strike. On this, I rely heavily on the clinical evidence of Jenny Harries, the deputy chief medical officer, who works with the four nations to try to make sure we get this balance right. It is very difficult, and the guidance we have put out includes the permissive ability to allow directors of public health to take decisions that are appropriate in local circumstances. However, this issue is a very difficult consequence of the virus.

[Greg Smith (Buckingham) (Con)]

I have spoken to landlords and landladies around my constituency, and they have all been incredibly grateful for the unprecedented support that the Government have provided to them, but they have been equally clear that that has just about kept their heads above water, especially at a time when there was warmer weather. I very much welcome my right hon. Friend’s commitment to keep this issue under review, but what reassurances can he give landlords and landladies that, as we head towards Christmas and the nights get colder, there is a timescale on this and they can have hope that they will still be trading at Christmas and not, sadly, closing down for Christmas?

[Matt Hancock]

The truth is that the more we all avoid close social contact, the harder the virus will find it to spread and the easier it will be to lift measures. It is as straightforward as that. From that logic, obviously, come many difficult consequences, including the ones my hon. Friend spoke to. However, I am happy to keep talking to him to make sure that we get this balance right in his area and across the country.

Coronavirus

Greg Smith Excerpts

Tuesday 15th September 2020 Commons Chamber

[Matt Hancock]

We do not recommend any private tests that are not signed off and verified. Therefore we are providing as many tests as we possibly can with a growing capacity. If the hon. Gentleman writes to me with the details of that individual case, I will absolutely look into it and make sure that one of the hundreds of tests that are being done in Ealing today is available for his constituent.

[Greg Smith (Buckingham) (Con)]

Having raised the issue of testing capacity in Buckinghamshire last week, I am enormously grateful to my right hon. Friend for the supply of two mobile testing units this week, in the town of Buckingham and in neighbouring Aylesbury, but like many hon. and right hon. Members I also continue to receive a lot of emails every day from constituents unable to access testing, so will he update the House on progress for a permanent uplift in the capacity for Buckinghamshire residents?

[Matt Hancock]

Yes, of course. My hon. Friend is right to raise the issue, and we have put more testing into Buckingham. There are hundreds of tests available across Buckinghamshire for his constituents and others, and we are working hard to ensure that the overall capacity has increased as well. Our constituents understandably want to get access to a test whenever they want one, and I understand that yearning, but we have to prioritise and, as I said in my opening answer, we have to put NHS and social care needs at the top of the list. I make no bones about that prioritisation, but at the same time we need to get overall capacity up, which is what we are working incredibly hard to do.

Covid-19 Update

Greg Smith Excerpts

Tuesday 8th September 2020 Commons Chamber

[Matt Hancock]

We look at the issue of restrictions in Halifax every week. Calderdale has seen a fall in the number of cases; it is an example of a local lockdown being effective. I was really pleased that we were able to take some parts of the local authority area out of the restrictions 10 days or so ago now, and it was very good to be able to make that progress. I accept that we had to leave Halifax in the restrictions and I look forward to working with the council and with the hon. Lady and other local colleagues. We shall consider the matter again this Thursday.

[Greg Smith (Buckingham) (Con)]

The scaling of testing has been an incredible achievement over the summer, and I heard from many constituents who were able to get same-day tests with results in as little as 12 hours. However, in recent days I have had a number of cases of constituents unable to get timed testing or being asked to travel an unacceptable distance. I welcome my right hon. Friend’s commitment to further scaling testing capacity, especially by embracing new technology; but what assurances can he give Buckinghamshire residents that that will be a rapid scaling, and that they will be able to get local and quick tests?

[Matt Hancock]

My hon. Friend is exactly right—we are going as fast as we can. I recognise the importance of this. There was spare capacity earlier in the summer. We have maintained the turnaround times—they are very rapid—but there have been challenges in the last couple of weeks because of that increase in demand and some of the operational issues that we have discussed. He is right to raise this, and he has raised it with me privately before. There is no one more assiduous in putting forward the needs of their constituents than my hon. Friend, and I will keep him posted on how much we can expand testing in Buckinghamshire.