Tobacco and Vapes Bill

Maggie Throup Excerpts

2nd reading
Tuesday 16th April 2024 Commons Chamber

[Maggie Throup (Erewash) (Con)]

As a former public health Minister, and a current vice-chair of the all-party parliamentary group on smoking and health, I am delighted to speak in this landmark debate today and to support the measures in this Bill. Today, the UK takes another significant step towards becoming smoke-free, which will safeguard the health and wellbeing of millions of people across the country from the threat of smoking-related diseases.

I begin by taking Members back more than 60 years to the start of this marathon debate—not that many of us can remember 1962. This was a time when leading political figures such as Harold Wilson and Tony Benn openly smoked during interviews; when we were told that our doctor’s cigarette of choice was a Camel; and when a young American actor named Ronald Reagan, whom my hon. Friend the Member for Boston and Skegness (Matt Warman) has just mentioned, appeared in glossy ads encouraging people to send special Christmas cartons of Chesterfields to all their friends instead of a traditional card.

1962 was also the year when the UK’s relationship with smoking changed. A crucial report published by the Royal College of Physicians shed light on the devastating consequences of smoking and urgently called on the Government to tackle smoking. This seminal report paved the way for numerous groundbreaking reforms, including health warnings on packs and a ban on smoking in public places.

In more recent years, Government policy to tackle the rise of smoking has largely focused on increasing tobacco duty. However, although a packet of 20 king-size cigarettes has risen from £1.68 in 1990 to around £17 in 2024, taxation alone has not solved the problem, with 12.9% of the overall population, and 14% of the population of my Erewash constituency, still continuing to smoke.

The impetus for the Government to act now through new legislation to create a smoke-free generation cannot be clearer. Smoking is the UK’s single biggest preventable killer. It causes 15 different types of cancer, and it is linked to cardiovascular disease, strokes, diabetes and dementia, as well as reducing life expectancy in Derbyshire by an estimated eight years.

Smoking puts huge pressure on the NHS, with someone being admitted to hospital with a smoking-related condition almost every minute in England, resulting in 400,000 admissions every year. Tobacco use in England costs billions of pounds in lost productivity and in health and social care costs. ASH estimates that the total cost of smoking, including productivity loss, social care costs and health costs, is £91.8 million in my Erewash constituency.

The Tobacco and Vapes Bill represents a bold and necessary response to this public health crisis, and it is a direct result of the review that Javed Khan carried out while I was public health Minister. The measures he proposes will, without doubt, save tens of thousands of lives and save the health system billions of pounds, and they will save an entire generation, including in Erewash, from addiction.

Regardless of party politics, as my hon. Friend the Member for Boston and Skegness said, we all enter this place with the honourable intention of making life better for the people we represent. I recently met students from Dovedale Primary School in my constituency, and we discussed the idea of increasing the age of tobacco sales by one year every year. The students unanimously backed this measure. By supporting this legislation and ensuring that children turning 15 or younger this year, including all those Dovedale Primary School students, will never be legally sold cigarettes, we have a golden opportunity to deliver on that promise of making life better for our constituents. If we do not, how could we ever again go into schools in our constituencies and look those children and young people in the eye?

Another objection raised by critics of the Bill and by tobacco manufacturers is that the cost of smoking to the public finances is far less than tobacco tax revenues. This is just not the case. Lost productivity, healthcare costs and social care expenditure paint a stark picture of the true cost of smoking to the public finances. ASH estimates that, in 2019, lost productivity in England due to smoking cost £14 billion, in addition to a £3 billion cost to the NHS and social care. Tobacco excise tax revenues for the whole UK were under £9 billion in 2019, so the financial burden imposed by smoking far outweighs any tax revenues raised by tobacco sales.

As I have already mentioned, the Khan review outlines that vaping is an effective tool to help people quit smoking. Although I agree with that analysis, many young people are being given these nicotine products and are becoming addicted. This is all down to a clever ploy by tobacco manufacturers. Today, the vaping industry is applying similar tactics to those used by big tobacco in 1962. Vapes are increasingly being marketed as fashion accessories, and the Bill will tackle this directly be regulating the packaging of vaping and nicotine products, which will also reduce the appeal and attractiveness of vaping and nicotine products to children and young people. Can the Minister confirm that the Government have considered a total ban on the sale of tobacco and vaping products within a defined radius of schools, as I am sure that would have a huge impact?

Finally, on the illicit vaping market, our efforts to combat smoking and vaping must extend the legal market to tackle that side of things. We have all heard stories of criminal gangs exploiting the market and selling vapes containing synthetic Spice. Only last week, King’s College London published a report by Dr Caroline Copeland that outlined the fact that so-called zombie drugs have been found in fake vapes. Once again, may I ask the Minister what she is doing to tackle that dangerous aspect of the vaping market?

To conclude, this is our 1962 moment. As parliament-arians, we have an opportunity to end smoking once and for all, ensuring that future generations are protected. Some may argue that now is not the time to legislate on this matter. I say, if not now, when? The Tobacco and Vapes Bill is the single biggest public health intervention in a generation, and 66% of adults across Great Britain support the legislation. Now is the time for colleagues across the House to back the Bill for the sake of public health, the economy and our NHS.

Oral Answers to Questions

Maggie Throup Excerpts

Tuesday 5th March 2024 Commons Chamber

[Victoria Atkins]

I thank the hon. Lady for her question. In fairness, colleagues from across the House have been raising this issue with me because it affects a large population of London and the surrounding areas. I must leave it to NHS England to finish its consultation process, but I would be very happy to visit not just the Evelina but our other wonderful hospitals that look after children.

[Maggie Throup (Erewash) (Con)]

Given the expansion of health services through Pharmacy First, what action is my right hon. Friend the Minister taking to ensure that communities such as Sandiacre in my constituency, whose branch of Boots is due to close at the end of the month, are not left without access to such vital services?

[Dame Andrea Leadsom]

I am very happy to discuss that matter with my hon. Friend, who is a huge advocate for her constituency. It is always disappointing when a community pharmacy closes, but she will know that the launch of Pharmacy First on 31 January expanded the value and contribution of all our community pharmacies. It has been met with a £645 million investment over this year and next.

Tackling Obesity

Maggie Throup Excerpts

Tuesday 27th February 2024 Westminster Hall

[Maggie Throup (Erewash) (Con)]

It is a pleasure to serve under your chairmanship, Mr Dowd. I congratulate my right hon. Friend the Member for Bexleyheath and Crayford (Sir David Evennett) on securing this debate. Tackling obesity is preventing ill health; I want to make it very clear that it is not nanny state, because good health provides choices.

We are already looking at these issues through the way we are tackling smoking, and I commend my right hon. Friend the Minister for her proposed actions on that. Smoking is an addiction, and obesity is becoming an addiction—an addiction to food high in fat, salt or sugar. We need similar, world-leading action to tackle obesity. The Obesity Health Alliance has said that obesity is the new smoking.

We have already heard that 30% of adults are obese, and 25% of children starting school are either obese or overweight, so we need to take serious action. The food giants are making us addicted to food that is high in fat, salt and sugar, so we need to tackle that in the same way we are tackling smoking.

Obesity causes cardiovascular disease, type 2 diabetes, cancer and non-alcoholic fatty liver disease. The reason the food giants are spending huge amounts on advertising chocolate, crisps, biscuits and ice cream—much of which is marketed at children—is that those products make them huge amounts of profit. I am not against profit, but I am when it comes at the expense of people’s health, and particularly the health of our children.

A recent study by the University of Oxford shows that, for seven of the top 10 global food manufacturers, two thirds of their food and drink sales in Britain came from unhealthy foods. In 2022, it was estimated that the biggest manufacturers spent £55 million on online adverts for food and drink products associated with childhood obesity. I have no doubt that that did not decrease in 2023, and I do not think it will decrease this year either.

In addition to the marketing, the packaging of unhealthy food is designed to appeal to children, as my hon. Friend the Member for South West Bedfordshire (Andrew Selous) implied. In a way, the issue is similar to the way disposable vapes are marketed to children. That is another issue my right hon. Friend the Minister is tackling, but we need to sort out the way unhealthy foods are marketed to children too. Children and young people do not ask to be bombarded with the ads they see time and time again, yet they are being bombarded—they cannot escape them at all. That is why Government action is needed, and needed now. I ask my right hon. Friend the Minister to update the House on the progress being made to implement the measures in section 172 of, and schedule 18 to, the Health and Care Act 2022 on the advertising of less healthy food and drink and to ensure that we are on schedule to deliver those messages.

Going back a number of years, as the hon. Member for Somerton and Frome (Sarah Dyke) mentioned, the then Chancellor of the Exchequer introduced the soft drinks industry levy. People at the time said it would not work, but it has; it has cut huge amounts of sugar out of soft drinks across the board. We need to look at how we replicate that measure for other foodstuffs. I am proud that I was a member of the Health and Social Care Committee when it asked for it to be put in place. It is one of the Committee’s great achievements, and we can do even more. We need to apply that type of measure across food and drink production to incentivise healthier food and drink. Manufacturers and retailers want a level playing field, so it is important that we do that.

In conclusion, we need to tackle obesity, which the Government first identified as a priority in the early 1990s in the “Health of the Nation” White Paper. Over 30 years on, we are still only talking about tackling obesity. The health of our nation is running out of time. We need action, and we need it now.

NHS Dentistry: Recovery and Reform

Maggie Throup Excerpts

Wednesday 7th February 2024 Commons Chamber

[Victoria Atkins]

We have very much tried to ensure that dentists who already hold NHS contracts will keep them and keep working them. That is why we have fallen upon the new patient premium to make it more in their financial interests to take on new patients. I appreciate the hon. Lady’s point about retention, which, again, we are looking to address through the increase in the UDA. But we all acknowledge that dentists are independent contractors, so we must ask them—and particularly those who are new dental graduates—to do their bit and help our NHS out.

[Maggie Throup (Erewash) (Con)]

A number of NHS dentists across Erewash have recently retired, leaving a cohort of my constituents without access to NHS dentistry. Unfortunately, practices are finding it really difficult to recruit replacements for the retirees. How will the plan help speed up that recruitment so that my constituents are not without NHS dentistry for much longer?

[Victoria Atkins]

May I thank my hon. Friend for all the work she did in the Department and has done on this subject? We are taking a long-term view with training dentists. As I said, last year, through the long-term workforce plan, we set out an ambition to train up to 40% more dentists by 2031. As we also begin the consultation on a tie-in with those graduates, we are confident that we will see a greater supply of dentists to our NHS services.

Oral Answers to Questions

Maggie Throup Excerpts

Tuesday 5th December 2023 Commons Chamber

[Victoria Atkins]

I thank the hon. Lady for her welcome. Having grown up in Lancashire myself, I very much understand why she is speaking up on behalf of her constituents. There are many different ways that we deal with this, but let me use a couple of headline points. First, we are increasing the public health grant to local authorities, providing more than £3.5 billion this year, so per capita public health grant allocations for the most deprived local authorities are nearly two and a half times greater than for the least deprived.

There is also interesting work going on with family hubs. Indeed, the Under-Secretary of State for Health and Social Care, my right hon. Friend for South Northamptonshire (Dame Andrea Leadsom), who has responsibility for start for life, is leading on that. The family hubs and start for life programme will deliver a step change in outcomes for babies, children and parents in 75 local authorities in England with high deprivation. We believe strongly that if we can give the best start in life to our babies and children, it will bode extremely well for their future years.

[Maggie Throup (Erewash) (Con)]

A report that is to be published shortly by the all-party parliamentary group for diagnostics, which I chair, has highlighted that community diagnostic centres are essential for tackling health inequalities. I welcome my right hon. Friend to her new role. Will she honour her predecessor’s commitment to meet the all-party group to discuss the benefits of diagnostics in general and the preventive role that they can play in reducing health inequalities across the country?

Building an NHS Fit for the Future

Maggie Throup Excerpts

Monday 13th November 2023 Commons Chamber

[Maggie Throup (Erewash) (Con)]

I am delighted to contribute to the debate because the Gracious Speech not only marks an historic first for His Majesty, but signals the Government’s clear commitment to focusing on the right long-term decisions to put our country on a stable footing in the face of global instability created first by covid-19 and latterly by the conflicts in Ukraine and the middle east.

When His Majesty’s grandfather, the late King George VI, made his final address to Parliament from the throne in October 1950, the Gracious Speech prepared by the then Labour Government made no mention of public health or any health-related legislation. Yet just fifteen months later—although it was never officially acknowledged—the late King, who was conservatively estimated to have smoked 40 cigarettes a day from his early teens, succumbed at the age of just 56 to the effects of two smoking-related diseases: lung cancer and cardiovascular disease. It is therefore bittersweet that, in the first King’s Speech of his reign, His Majesty announced new legislation to create a smoke-free generation by restricting the sale of tobacco so that children currently aged 14 or under can never be sold cigarettes, and restricting the sale and marketing of e-cigarettes to children. I will focus my remarks on those specific measures.

By committing to raising the age of sale for tobacco by one year, each year, making it an offence for anyone born on or after 1 January 2009 to be sold tobacco products across England, the Government will not only save countless lives, but will continue to level up areas of our country such as my Erewash constituency, where smoking rates remain unacceptably high. I take great pride in the fact that, thanks to the actions of the Conservative Government, the majority of the 1st Sawley Scouts, whom I met last Friday as part of Parliament Week, will never legally be able to buy cigarettes. When we discussed this topic, and the measures to address inappropriate vaping, there was wholehearted support from the scouts and their leaders.

I pay tribute to Dr Javed Khan for the work he has done and the role he has played in getting us to this stage on tobacco control. I was privileged to be part of the ministerial team who asked Dr Khan to dig deep into how we, as a nation, can become smoke free by 2030. One of his flagship recommendations was to raise the age of sale. To some, that may seem illiberal, but others—I am definitely in this group—would ask: “What is illiberal about protecting individuals from a killer?” Smoking remains the biggest single cause of preventable illness and death.

Shockingly, cigarettes are the only legal consumer product that will kill most users. Two out of three smokers will die from smoking unless they quit, and more than 60,000 people are killed by smoking each year. That is approximately twice the number of people who died from covid-19 between March 2021 and March 2022, yet it does not hit the headlines. Add to that the fact that in 2019, a quarter of all deaths from cancer were connected to smoking. The annual cost of smoking to society has been estimated at £17 billion, with a cost of approximately £2.4 billion to the NHS alone and more than £13 billion lost through the productivity costs of tobacco-related lost earnings, unemployment and premature death.

Achieving a smoke-free society by 2030 will not only save the NHS money; more importantly, it will save lives. Increasing the age of sale will undoubtedly be a key intervention that will make that happen. Age-of-sale policies are partly about preventing young people from gaining access to age-restricted products such as cigarettes and alcohol, but more importantly, they are about stopping the start. When smokers are asked when they started smoking, the majority say that it was in their teens. The longer we delay the ability to legally take up smoking, the fewer people will take it up, so fewer will become addicted. Let us face it: never starting to smoke is far easier than trying to quit. We have already proved in the UK that raising the age of sale leads to a reduction in smoking prevalence. Increasing the age of sale from 16 to 18 in 2007 led to a 30% reduction in smoking prevalence among 16 and 17-year-olds in England.

The last time I spoke about vaping in this place, I made a number of asks of the Government. I am delighted that I have been listened to, and that many of the measures I requested have been included in the Gracious Speech. Those asks were to regulate vape packaging, flavours and product presentation, and to enable further enforcement around the sale of vapes to children and young people. Those measures are a good start, but the message we need to put out is that vaping is an aid to quit smoking, not a recreational product. We are already hearing of children—yes, children—who have medical conditions as a result of vaping.

I believe that one way to change the way adults and children perceive vaping is to ensure that e-cigarettes are available on prescription. In October 2021, the Medicines and Healthcare products Regulatory Agency updated its guidance on licensing e-cigarettes as medicines. Being licensed would allow e-cigarettes to be available on prescription. Just over two years on, we are yet to see the first MHRA-licensed e-cigarette, so when the Secretary of State for Work and Pensions closes the debate, will he update the House on the progress made in enabling e-cigarettes to be available on prescription? That would undoubtedly put out the message that vaping is a serious way to quit smoking, not something to be consumed like sweets. That message needs to be loud and clear, because the scouts I met last Friday informed me that children in year 7 at their school were already vaping. We have no time to waste on this issue.

I will briefly mention the NHS long-term workforce plan. The focus of that plan has always been on nurses and doctors, but I want to put in a plug for other NHS workers. We need more radiologists and radiographers; we need more pathologists and biomedical scientists. Let us make sure we have all the supporting NHS staff in place that the doctors and nurses will need to conduct their business in an effective manner.

In our 2019 manifesto, we committed to levelling up, and that commitment has been reinforced by the actions of our Prime Minister and the Government he leads. Levelling up is about so much more than infrastructure; it is also about levelling up our health and our life chances. That is particularly important for my constituents in Erewash, where the prevalence of smoking—16.6%—is higher than the national average. It is estimated that the average annual spend by someone with a 20-cigarette-a-day habit is upwards of £3,000, while research recently conducted on behalf of The Daily Telegraph suggests that those under the age of 26 are spending around £2,700 a year on disposable vapes to satisfy their daily habits. Consequently, these measures should not just be considered in a health context. By becoming smoke free by 2030, the Government can lift around 2.6 million adults and 1 million children out of poverty altogether, which would represent a significant victory for our levelling-up agenda.

Under-age Vaping

Maggie Throup Excerpts

Wednesday 12th July 2023 Commons Chamber

[Maggie Throup (Erewash) (Con)]

If I may, I would like to ask Members to visualise the following scenario. The world is emerging from a period of economic uncertainty and there is a war in Europe. Young people are being given products that contain nicotine and becoming addicted to nicotine. Unbeknown to them, the products are doing irreversible damage to their young bodies, creating ill health and, indeed, killing more of them than the war in which they are fighting. There is not only the addiction to nicotine but lung cancer, chronic obstructive pulmonary disease and other conditions that have blighted so many lives and taken too many loved ones far too early.

The times that I just described were the times that my father experienced. That was my dad’s experience during the second world war. He was given cigarettes as part of his rations as a radar operator in the RAF serving in India and Burma. Through the magical world of time travel, colleagues are now in the 21st century, 80 years on in 2023, looking at the same type of young person, aged 18 and younger, and what do we find? The world is struggling with economic uncertainty and there is a war in Europe. Yet again, we find that many young people are being given free samples of products that contain nicotine—vaping products. Vapes are causing addiction to nicotine, and I dread to think of the other detrimental impacts on young people’s health. We have not learned the lessons of 80 years ago.

Vapes should not be used as a recreational product or, as I described them yesterday, as confectionery. Vapes should only ever be used as an aid to stop smoking. I remind the House that it is illegal to sell cigarettes to under-18s. As I just indicated, vapes are an aid to quit smoking for adults and should never be seen in the hands of children, yet that is not the case. Like others, time and again I see children—and yes, they are children—with a variety of multicoloured vapes in their hands as they leave school at the end of the day. They are leaving schools that do not have sixth forms, so they are definitely not 18. Legally, they should not be able to access vapes, yet they can and regularly do.

What is going wrong? Why have vapes become a fashionable accessory that contains what I believe to be one of the most addictive and dangerous substances known to man? I would now like Members to visualise their high streets. We may have lost many of our corner shops and the traditional tobacconists with packs and packs of cigarettes stacked up behind the counter and, as we have heard, where they do still exist they are heavily regulated, with cigarettes hidden behind screens and in plain packaging, yet they have been replaced with brightly lit shops stacked full of multicoloured vaping products. The product placement and design is second to none, with modern interiors and the minimalistic look that is so attractive to youngsters. It is like candy to the eyes of young people as they walk past on their way to school.

What does this situation say about us? How have we allowed this to happen again? The tobacco industry, starved of its traditional revenue, is now seeking new victims by ploughing billions of pounds into the vaping industry, and it is doing that without clear, long-term scientific evidence of what vaping is doing to the young people who have been influenced by the tobacco industry’s sleek marketing. This must stop, and it must stop now. We cannot allow vaping to become the new cigarettes. Far too many of us have seen the consequences of smoking and we must not allow history to repeat itself.

For that reason, I have five requests of my hon. Friend the Minister. First, we should update both the Standardised Packaging of Tobacco Products Regulations 2015 and the Tobacco Advertising and Promotion (Brandsharing) Regulations 2004 to cover vaping products. Secondly, we should amend the Tobacco Products and Nicotine Inhaling Products (Amendment) (EU Exit) Regulations 2020 to prohibit the sale of flavoured vaping liquid. Thirdly, will my hon. Friend look carefully at the case for outlawing the sale of tobacco and vaping products within a defined radius of schools? Fourthly, we should ensure that the ban on the sale of vaping products to those under the age of 18 is properly and rigorously enforced by trading standards. Finally, I urge my right hon. Friend the Chancellor to specifically target vaping products in his next Budget statement, to disincentivise the recreational habit through the tax system. Only then can we truly claim to be a world leader in protecting the health of our nation.

--- Later in debate ---

[Helen Hayes]

The hon. Member speaks from her experience on this issue. We have set out a motion containing some immediate actions that the Government can take, which are well-evidenced, particularly from the approach taken to combat smoking. I agree that the Government should look urgently at other aspects of the regulatory framework on vaping, some of which we have heard about today.

Vaping products are marketed directly to children, named after sweets such as gummy bears, Skittles and tutti frutti, in brightly coloured packaging decorated with cartoon characters. There is also evidence, including from research undertaken by one of my constituents who I met during evidence week last week, of the burgeoning growth in vaping among 18 to 25-year-olds, almost entirely unrelated to smoking cessation. A new generation of vaping products has been designed to be desirable objects in their own right. If action is not taken to tackle the accessibility of vaping to children, we can only expect vaping among young adults to continue to grow.

[Maggie Throup]

The hon. Member talks about children and 18 to 25-year-olds. What age does she think is appropriate to ban vaping—16, 18 or 25?

[Helen Hayes]

The current law prohibits the sale of vapes to under-18-year-olds. We are not proposing a change in the law on the prohibition of sale. I was simply highlighting that young people grow, and those who become addicted to vaping under the age of 18 are much more likely to carry that addiction into young adulthood. That was the point that I was seeking to make. We can expect a pipeline of young people becoming addicted to vaping, which may stay with some of them for the rest of their lives.

This Government have been asleep at the wheel on children and vaping. They had the opportunity to vote for measures to protect children from vaping last year but failed to do so. The measures that the Minister has announced most recently are better late than never, but are simply inadequate to the task. ASH is clear that while educating young people on the risks of vaping through a new resource pack for schools is welcome, the evidence suggests that education alone will not stop children from vaping.

There is substantial evidence on what worked in reducing smoking rates among children. In 1982, when England first started monitoring smoking rates among children, just one in five children was a current smoker. Eighteen years later in 2000, the proportion was exactly the same—not because children were not educated about the dangers, but because adolescents are risk takers. Between 2000 and 2021, smoking rates among children fell from 19% to just 3%—not because of better education or enforcement but because the regulatory framework during that time ratcheted up year by year. Under the last Labour Government, all point of sale advertising and display of tobacco was prohibited. A comprehensive anti-smuggling strategy was implemented by HMRC and the UK Border Force, which dramatically reduced sales of illicit tobacco, and cigarettes were put in standardised packaging, with all the brightly coloured glamourised packaging removed.

What is true for the strategy to tackle smoking is true for the challenge of vaping. Without much tougher regulation, we will not succeed in driving down vaping among children and young people. Regulations on packaging, advertising and labelling are essential. Labour is calling on the Government to ban vapes from being branded and advertised to appeal to children, and to work with local councils—

Oral Answers to Questions

Maggie Throup Excerpts

Tuesday 11th July 2023 Commons Chamber

[Steve Barclay]

As I say, we have already taken action. We took measures in April, and the Prime Minister announced further measures in May. We are keen to follow the evidence. That is why we have had a call for evidence. The ministerial team are looking extremely closely at this, and we will take further action to clamp down on something that we all recognise is a risk to children, which is why we are acting on it.

[Maggie Throup (Erewash) (Con)]

Vapes are smoking-cessation products; they are not confectionery to be sold to children or a way of replacing one generation hooked on nicotine with another. Will my right hon. Friend update the House on the progress that the Medicines and Healthcare products Regulatory Agency has made on licensing e-cigarettes and other inhaled nicotine-containing products as medicines, which would put out a strong message that vaping is a dangerous pastime?

[Steve Barclay]

As a former Health Minister, my hon. Friend is well aware of the risks posed by vaping. As the chief medical officer has said,

“If you smoke, vaping is much safer; if you don’t smoke, don’t vape”.

That is why we are toughening up the regime. We are also working with industry as part of our call for evidence, but we are clear on the need to go further. That is exactly what we will do.

NHS Long-term Workforce Plan

Maggie Throup Excerpts

Monday 3rd July 2023 Commons Chamber

[Steve Barclay]

We are already seeing a fifth more work than last year, due to the flexibilities that the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Harborough (Neil O’Brien) announced, including the ability for dentists to take on more work within their commission and the changes to the units of dental activity pricing to better reflect more complex work. Of course, we have 6.5% more dentists than in 2010, but we also recognise that within the £3 billion budget, we want to go further. That is why we are looking at proposals to go further than the measures announced, but progress is being made, with a fifth more activity than last year.

[Maggie Throup (Erewash) (Con)]

I welcome the workforce plan and applaud NHS England’s ambition. However, for the plan to be successful, it is vital that we promote career options that often go unseen. I therefore urge my right hon. Friend to work with the Education Secretary and NHS England to ensure that young people are better informed about the myriad opportunities in the allied health professions and as healthcare scientists before choosing GCSE, A-level or university options.

[Steve Barclay]

My hon. Friend raises a brilliant point. I do not know if Members know, but there are 350 different types of role in the NHS. It is really important that we get the right information to children whose parents are perhaps not informed about those opportunities. One point on which I slightly take issue with my hon. Friend is that it is not just those at the start of their career who need to be aware of the opportunities. This is about offering opportunities to people throughout their careers to progress and to take on more advanced roles. I strongly believe that we should not define people’s future career by where they are at 21 or 22; they should have the opportunity to progress. That is a key part of the workforce plan, and I think it is a key Conservative principle that they have that ladder of opportunity throughout their time in the NHS.

Lung Cancer Screening

Maggie Throup Excerpts

Monday 26th June 2023 Commons Chamber

[Steve Barclay]

Clearly, the earlier we detect cancer, the less pressure it puts on the workforce. There is much more work involved in the treatment of a later cancer than of an earlier cancer. That is why we are investing in our community diagnostic programme, with 108 community diagnostic centres already open and delivering 4 million additional tests and scans. As part of the wider £8 billion investment in our electives recovery, over £5 billion is going into that capital programme. Yes, the workforce plan is a key part of that, but so is getting the CT scanners and the other equipment in place. That is exactly what our community diagnostic programme is doing, and it is being furthered by our screening programme through announcements such as this.

[Maggie Throup (Erewash) (Con)]

Alongside the new lung screening programme, which I welcome, will my right hon. Friend now commit to implementing in full the recommendations made by Dr Javed Khan in his review, so that we can finally stub out the No. 1 cause of preventable cancer and end the suffering for smokers who develop cancer and for their loved ones? Our late colleague requested that we be bold. In taking forward the Khan review in full, I am sure we would be fulfilling his wishes.

[Steve Barclay]

My hon. Friend is quite right to highlight the significance of smoking as a cause of cancer. We have a number of measures, including the programme to move 1 million smokers on to vaping, the financial incentives to encourage pregnant women not to smoke, the tougher enforcement and the consideration of inserts for packaging. The Government are taking a range of measures to address the very important issue that my hon. Friend rightly raises.