Prevention of Ill Health: Government Vision

Stuart C McDonald Excerpts

Monday 5th November 2018 Commons Chamber

[Matt Hancock]

I agree with my hon. Friend the Chair of the Select Committee on that. Of course, the public health budgets for local authorities and Public Health England will be settled as part of the spending review, and there was no change to them in the Budget last week. There are also much wider responsibilities on activity—on cycling and walking—on which I am working with the Department for Transport. The document is all about the cross-government action, and the NHS will come forward with its long-term plan for the NHS-specific action. If there are aspects of cross-departmental working that she suggests we have not yet taken up, I will be looking forward to listening to her on that.

[Stuart C. McDonald (Cumbernauld, Kilsyth and Kirkintilloch East) (SNP)]

I thank the Secretary of State for advance sight of his statement and, in particular, I welcome his determination to reduce the inappropriate and sometimes disgraceful treatment of vulnerable people with autism and learning disabilities. He says that prevention is infinitely better than cure—nobody is going to disagree with that—and that the Government are encouraging people to make better choices, which is fine. However, that will ring hollow if the Government themselves duck difficult decisions that could help citizens to make better choices; we have heard about the example of junk food advertising already, but let me touch on the issue of alcohol. If he is serious about supporting healthy choices, surely he must bring to an end the free-for-all that sees supermarkets encouraging alcohol consumption by selling it at ludicrously discounted prices. Some estimate that in the first five years a 50p minimum unit price in England could save more than 1,000 lives, reduce hospital admissions by 75,000 and cut healthcare costs by £326 million. If the Secretary of State is serious about prevention, will he support minimum pricing?

Finally, I welcome the moves in respect of the prescription of medicinal cannabis, but too few are benefiting. My constituent Caroline was given months to live after being diagnosed with a brain tumour. Those treating her link her ongoing good standard of living with her use of cannabis oil from Canada, which comes at an enormous financial cost to her and her family. However, those treating her will not prescribe cannabis oil because there is no suitable medical research on which to base such a prescription. Why not let Caroline become part of that research by prescribing medicinal cannabis to her? We can then all learn from her experience.

[Matt Hancock]

On medicinal cannabis, I announced more research today and there is now a route in England. The hon. Gentleman will of course have to talk to the Scottish health service to ensure that a constituent in Scotland gets access, but I am very happy to look into specific English cases.

On the broader point about alcohol, it is important that we tackle alcohol abuse and it is vital that we do it in the right way. I do not want to punish people who drink responsibly at responsible levels, including myself. I occasionally drink at a responsible level, and I am sure that the hon. Gentleman does—certainly his colleagues enjoy a wee dram. Nevertheless, 5% of people in this country drink 30% of the alcohol. It is the small minority who present significant problems for the NHS and we need significant, targeted action.