(5 days, 6 hours ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
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As I reported when we put in place the permanent ban, there have been arrangements for people who were previously being prescribed puberty blockers. People who wanted to access them, but could not once the ban came in, have not been able to do so through authorised means.
I recognised when I took the decision, and as a result of representations I have received, both directly and in writing, that it caused considerable pain and distress to a very vulnerable group of children and young people and to the people who care very much about them. I have not been indifferent to that; I have taken it very much into consideration. However, with respect to all the people I have met, no amount of political pressure should move a Health Secretary away from the clinical advice and expert opinion that should underpin these sorts of decisions.
Tom Hayes (Bournemouth East) (Lab)
I welcome the trial. I commend the Secretary of State for following clinical advice and the Government for trying to build a consensus for one of the most minoritised communities in our country.
May I ask the Secretary of State—a man who I know to have empathy and thoughtfulness—to speak directly to trans people who will be watching this debate? At this Christmas time, they may be struggling with estrangement from family and with other difficulties. Can he speak to the dignity and worth to which they are entitled, and send a message that this House has their back?
I am grateful to my hon. Friend for that question. I recognise that the decision I took, within days of coming into this office, was received by trans people in particular, and the wider LGBT+ community, as a negative decision that detrimentally impacted their rights and identity. That is why it was an uncomfortable decision for me to take; I knew how it would be received and had to balance up the risk. I believed—and still believe, by the way—that it was the right thing to do, for the right reasons: a clinically led decision.
When it comes to the care and health of children and young people in particular, I make no apology for exercising extreme caution. I do want trans people in our country to know that this Government respect them and their identity, and want them to live with dignity, safety and inclusion. That is the approach that the Government are taking. I realise that decisions that I have personally taken have not been received in that way. That has not been comfortable for me, but I do believe it has been the right thing to do.
(6 days, 6 hours ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Vikki Slade (Mid Dorset and North Poole) (LD)
It is a pleasure to serve with you in the Chair, Mr Turner. I thank the hon. Member for North Warwickshire and Bedworth (Rachel Taylor) for such a passionate, incredible speech. Although she focused on adults, I would like to talk more about young people.
I am not sure whether the recent outrage about the puberty blockers trial is a result of misunderstanding, or whether those who do not accept that trans people have a right to affirmative care are simply using it as another opportunity to cause distress and harm to young people who are already marginalised and deeply frightened about their future. I am going to be generous and say it is the former, and I will help by providing some clarity.
Puberty blockers have been used since the 1980s. Although in a small number of high-profile cases, an individual has transitioned back to the gender assigned at birth, the vast majority do not. An Australian study found that 5% ended up identifying with their sex assigned at birth, but only 1% of those did so after receiving puberty blockers or hormone replacement therapy. The others did so during their initial assessment at the clinic. That is significantly lower than the regret rate for breast implants, tattoos or any other change to someone’s body. Puberty blockers are not permanent; they are to delay puberty and pause development.
Imagine a young transgender child who starts to live as a boy as they end the primary phase of their education—taking part in boys’ sports and changing their name on documentation—then having to contend with breast growth and menstruation at school. Or think of a teenage trans girl, who is fully accepted by her friends, suddenly experiencing the growth of facial hair and a dropping voice, and waiting years for an appointment. Imagine how they feel sick, showering a body that physically repulses them, binding to ensure they pass among their friends, and hiding from any situation where they are exposed.
Children whose puberty is advancing too quickly can access these drugs, but trans children cannot. When the drugs were banned last year and the Government announced that there would be a trial, I thought that those who genuinely wanted fair and safe healthcare for trans children would have welcomed it. Instead, they described those children as guinea pigs. The trial must go ahead and needs to be expanded.
Tom Hayes (Bournemouth East) (Lab)
Trans healthcare is challenging to access and afford. Waiting lists are ludicrously long and treatment options are limited. There is a massive gap between the treatment that trans people need and what they are being offered. Does the hon. Member agree that, as we just heard from my hon. Friend the Member for North Warwickshire and Bedworth (Rachel Taylor), trans people are human beings who deserve to be treated as such, with equal access to healthcare?
(2 weeks ago)
Commons Chamber
Tom Hayes (Bournemouth East) (Lab)
Before I was elected, I ran mental health and complex needs services for five years. I saw a landscape that had pretty much been devastated under the Conservatives, and one way in which it had been devastated was through the loss of Sure Start. The Institute for Fiscal Studies produced a report this year that showed that Sure Start led to a 50% reduction in hospitalisations for 12 to 14-year-olds. The shadow Minister talks about the ways in which we can deliver better mental health. Does he agree that Labour’s roll-out of a revamped Sure Start is just one of the many ways in which we are helping to improve children’s mental health?
The hon. Gentleman makes a very good point, but he has also missed the point. He gives me the opportunity to point out that one way in which the previous Government dealt with this issue was by bringing forward the mental health investment standard, under which the proportion of spending on mental health had to mirror the spending on physical conditions. That was starting to lead to real change. Alas, under this Government, there is a concern that the standard has not been met. We know that the proportion of mental health spending has fallen under this Government, according to the written ministerial statement that they put out.
That leads me on nicely to the point that I wanted to raise: how will we fund the models that are coming forward? That is the crux of the matter that people outside the House will be looking at; it is a direct question, and it is the only one that I have in this debate. We on this side of the House have raised this issue in the debates we have had on both palliative care and mental health, and I raised it with the Minister only last week. The Chair of the Health and Social Care Committee, the hon. Member for Oxford West and Abingdon (Layla Moran), has raised this question again and again. Are the Government committed to the investment standard or not? Is it something that they have dropped? The House and the wider public need to know, so that we can plan for service provision. If the Government are dropping it, that is on them, and they need to explain the reasons why they are doing so. Maybe there is alternative investment, but as a starting point, the investment standard will be crucial in dealing with the mental health challenge, which is growing despite the pandemic and all the investment that has already gone in.
Tom Hayes
I have written more mental health investment standard funding applications than I care to remember. Although investment is obviously important, one major challenge with that stream of funding was that I had to apply on an annual basis. There was no certainty around multi-year settlements, so I was repeatedly setting up projects for which I could not find the funding to keep them going. That created more disruption in mental health support. We need to have stable, continuous funding settlements that actually meet the need that has been identified by the data and patient experience. That is what the Government are delivering, and to latch on to a particular funding stream and claim that somehow it is not being provided with support, when actually there is the wider of goal of tackling mental health through different methods—
Order. The hon. Gentleman will know that there is ample opportunity for him to contribute to the debate. That was a very long intervention.
(2 weeks, 6 days ago)
Commons Chamber
Mrs Elsie Blundell (Heywood and Middleton North) (Lab)
I would like to focus my remarks on how this Budget will deliver enhanced transport connectivity and further devolution, allowing towns like those I represent to grow their way out of the cuts they have been subjected to for over a decade.
Transport connectivity is the difference between our towns and those within them either getting ahead or being left behind. My constituents have long been overlooked when it comes to transport planning and spending, and I was delighted that at the spending review earlier this year, the Greater Manchester city region received over £2.5 billion to plug the gaps there in local connectivity. As a result, it was announced that the tram will now be coming to Heywood, with spades in the ground by 2028 and a commitment from the mayor that he will revisit the business case for extending the Metrolink to Middleton. This is the difference that a Labour Government make with a Labour-led city region.
This Budget went even further. I was delighted to hear last week that, thanks to the discipline and responsiveness of this Chancellor, the northern growth corridor and the trans-Pennine route upgrade will receive the investment they need. That welcome commitment came alongside the decision to freeze rail fares for the first time in 30 years, making progress in ensuring that anyone, no matter where they come from, can get from A to B. I am proud that, through the Bee Network in Greater Manchester, we have been able to keep bus and tram fares as low as possible, and it is important that rail is not left behind. I am delighted that, as Greater Manchester moves to integrate rail lines into the Bee Network, these prices will now be frozen, too.
If we stick to the plan and ensure that devolution is delivered, I envisage a point in the future when my constituents can get into Manchester city centre on safe and reliable public transport and go on to make their journeys to other cities across the north. That is why I am determined to see the promise of this investment delivered upon and swift progress made to connect the north, after the Tories cancelled the northern leg of High Speed 2.
Tom Hayes (Bournemouth East) (Lab)
My hon. Friend is making a powerful case for investment into her town and the wider region. Does she agree that this investment is only possible because the economy has been stabilised by a Chancellor who is investing in capital infrastructure to the tune of £120 billion and has attracted around £250 billion of private sector investment, which contrasts sharply with the Conservatives, who raided the capital investment budget for day-to-day spending and deterred that long-term investment from the private sector?
Mrs Blundell
I absolutely agree. It is thanks to this Chancellor’s determination to be disciplined that we are able to deliver this investment in Greater Manchester and my constituency.
The people of Greater Manchester are really resilient. Many people try to talk us down, but our city region and our economy are vibrant and dynamic. Looking at this Budget, it is clear to me that this Government recognise our potential and are keen to connect Greater Manchester internally and bind it more closely with those other great cities of Leeds and Liverpool.
(3 months, 2 weeks ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Amanda Hack (North West Leicestershire) (Lab)
It is a pleasure to serve under your chairship, Mr Stringer. I thank the hon. Member for Bishop Auckland (Sam Rushworth) for bringing forward this important debate. I declare my membership of the all-party parliamentary group for defibrillators.
As has already been said, every minute that someone is in cardiac arrest without receiving CPR and defibrillation, their chance of survival decreases by 10%. I recently hosted CPR and defib training in my constituency, with an outstanding East Midlands Ambulance volunteer trainer, supported by Resuscitation Council UK. It was made clear that every single moment counts when starting CPR. If it needs to be performed, get help. Every minute can feel like a long time when carrying out chest compressions, but it is vital to continue until professional help and a defib become available. I also encourage everyone to complete free training online, and, if possible, attend an in-person course.
In my constituency, almost 50% of postcodes are not within easy reach of a defibrillator. On average, my constituents have a five-minute run, not including the time it takes to locate and unlock the defib. The stark reality of how far a new local business, CoalWorks, was from the nearest defib inspired it to take action. It successfully fundraised to install one at its gym on the business park. With its efforts, it was able to purchase an additional unit, and thanks to the partnership with Hinckley and Rugby building society, a second defib will soon be available in the centre of Coalville, benefiting the wider community. The cabinet outside the building has already been installed.
Having publicly accessible defibs is so vital. Let us imagine it is a Sunday and the only defib nearby is locked inside a closed shop: with so many sports clubs active on Sundays, and with exercise known to exacerbate underlying cardiac conditions, it is vital that these defibs are 24/7, yet too many remain tucked away. It is no surprise that Resuscitation Council UK estimates that the survival rate for out-of-hospital cardiac arrests in North West Leicestershire is just 1.6%. But small changes can make a huge impact.
Tom Hayes (Bournemouth East) (Lab)
Will my hon. Friend join me in congratulating the work of Bournemouth Heart Club, which promotes good heart health, and also Regency Living, HENRA—Hengistbury Residents’ Association—and St Nicholas Church, which funded a defibrillator at St Nicholas Church that, just seven weeks after installation, saved a life at Hengistbury Head? Some 41% of postcodes in Bournemouth East are outside of direct reach of a defibrillator. Does she agree that we need to end this postcode lottery now?
Amanda Hack
Of course, I agree; heart health is really important, but access is key, too. We can all do our own bit. We can check if the defib nearest to us is registered and encourage a community audit. If it is not registered, someone in an emergency might not know it is there. Every school in North West Leicestershire has received a defib from the Department for Education, but it appears that only 28% have registered theirs—not even half. I will be writing to every school in my constituency to urge them to get their devices out of the box and on to the register.
We can also petition our local stores, supermarkets, schools and GP practices to mount their defibs on the outside of their buildings, where they are always accessible, and we can fundraise to secure new defibs in the most impactful locations. One resident contacted me after a fundraiser at the Kings Arms in Coleorton, expressing frustration that VAT is charged on lifesaving equipment purchased with charitable donations. I ask the Minister to consider that in her response.
There is so much more to say: I feel deeply passionate about the urgent need for more defibs, greater knowledge about CPR and defib use, better awareness of heart health and a wider screening programme to detect risk—in young people in particular.
That was it: around three minutes. Had resuscitation not been started while I was speaking, the chances of surviving a cardiac arrest would have dropped by 30%.
(5 months, 1 week ago)
Commons Chamber
Tom Hayes (Bournemouth East) (Lab)
We know the problems facing children’s health, and we know the scale of those problems—there is more than enough evidence—so in the time I have I will focus on some of the solutions. I welcome the Government’s commitment to rolling forward youth hubs, to recruiting 8,500 mental health workers and, through the plan for change, to introducing Best Starts, our revamped Sure Start centres. An excellent Institute for Fiscal Studies report shows the effect of Sure Start, and its findings should inform how we develop Best Starts.
I do not want to spend a long time talking about how we reframe the architecture and the organisations that deliver children’s health, but I do think that is not quite in the right place. Service users fundamentally do not care about who delivers what services; they just want the highest quality services. My concern is that we have services concentrated at the local authority level for children’s health, when they should not be placed there. We know that the best-run services are typically health services, because they have structural advantages in terms of data and the experience of spending capital funding and getting things off the ground quickly.
We also know that some of the experiences of children’s social care are not entirely as they should be. The attempt to unify children’s health and children’s social care within local authorities with a director for children’s services in an upper-tier local authority has had a mixed record, and it would be wise for us to think about whether children’s social care—or, indeed, adult social care—ought be put at the local authority level, or whether there ought to be a different place to deliver it, perhaps at a national level and perhaps at a national health level.
In a previous life before I was elected, I ran mental health, domestic abuse and homelessness services, and I embedded caseworkers in local authority settings to support families with mental health issues, domestic abuse prevalence and substance misuse. I also delivered services as part of the last Government’s community mental health framework—particularly personality disorder services. The embedding of third sector organisations is definitely a positive. There are limits to what they can do, but they can do outstanding things; they can build strong relationships with people who often lack trust in statutory agencies, and they can deliver bespoke support, often beside NHS or local authority support. I would therefore want a larger role for our third sector.
In closing, I want to talk about special educational needs and disabilities. We all know that the system is broken. We know that it is adversarial. We know that parents are at breaking point. We know that there are not enough spaces in specialist provision. We know, too, that EHCPs take too long and the process is difficult. As a consequence, it can feel dehumanising. I look forward to the Government working collaboratively with families, putting them at the heart of changes to develop the best solution. I have a survey available to constituents in Bournemouth East, and I encourage them to complete it or to email me, because I need to hear from them in order to represent them to Government, so that we can get the best possible system.
(5 months, 4 weeks ago)
Commons Chamber
Anna Dixon (Shipley) (Lab)
First, I draw the House’s attention to my entry in the Register of Members’ Financial Interests. I am a trustee of the charity Helpforce, a member of the Public Accounts Committee and an officer of the patient safety all-party parliamentary group.
It was a Labour Government who founded the NHS on the principle that it would be there for us when we needed it. Patients in my constituency lost that confidence under the Tory Government. When they rang for a GP in the morning, they were told that it would be three weeks before they could be seen. If they rang 999, they were not confident that the ambulance would arrive. When they were referred for tests, they would be waiting months rather than weeks. These estimates show that this Labour Government believe in the NHS, believe in its future and can turn it around, so that again it is there when we need it.
The spending review gives an uplift in day-to-day spending as well as a huge rise in capital budgets. It is those capital budgets that will enable the rebuilding of Airedale Hospital, which has been plagued by RAAC, and is vital to my constituents. I have seen at first hand the difference that good-quality primary care facilities can make with the completion of the extension at Grange Park surgery. I know that, with this settlement, the Government will want to see further investment in primary care, and I hope the Minister will confirm that.
It is imperative that this extra spending helps deliver the shifts from treatment to prevention, hospital to community and analogue to digital. As a member of the Public Accounts Committee, I helped to challenge officials at the Department of Health and Social Care and NHS England as to why, despite commitments over many years to community and prevention services, the money had never followed under the Tories. I hope that, with Labour’s NHS 10-year plan, we will make it clear that the money will be there for community services and for prevention. I am very pleased that the Chancellor has put a stop to the raiding of capital budgets to fund everyday expenditure.
These estimates rely on very ambitious productivity savings. At the heart of that is the health of our workforce, because too many are sick and absent from work. Volunteers can make a huge difference to retention because they improve staff wellbeing. Volunteering can also be a route for people to try out a career in healthcare. I urge the Minister to back the initiatives that support the use of volunteers.
Anna Dixon
I will not give way, because we are under a time limit.
In conclusion, I am confident that this funding settlement will help to put the NHS back on track and make it fit for the future.
(6 months, 1 week ago)
Commons Chamber
Phil Brickell (Bolton West) (Lab)
I congratulate my hon. Friend the Member for West Ham and Beckton (James Asser) on securing this debate. It may be five years since the pandemic began, but those years cast a long shadow. Regrettably, the effects will be felt for many years to come. Across my constituency in and around Bolton, the pandemic left a deep scar, with thousands of lives tragically cut short. Those were not numbers on a board or figures on a screen; they were neighbours, parents, siblings, children, mums and dads, aunts and uncles, family friends and loved ones. Their memory must be honoured, not just with fine words in the Chamber today, but in our commitment to learning the lessons from the covid pandemic, so that never again do we find ourselves wholly unprepared for a public health emergency.
We would be doing all those people who lost or risked their life a huge disservice if we did not learn the lessons of the pandemic, so I implore the Minister—I hope we will make progress on this—to look at how it was possible that our frontline workers were sent into battle against the virus without adequate personal protective equipment. There was PPE that was deemed unfit for purpose, PPE that was not delivered in a timely manner, and PPE that was not manufactured to NHS requirements. PPE contracts awarded by the previous Government meant that millions of pounds of taxpayers’ money were squandered through a cavalier approach to procurement, and serious questions were raised about integrity, probity, and value for money. Five years after covid first hit these shores, these issues continue to wind their way through our courts. Of course the Government needed to act at speed—nobody denies that—but what went on is, in my view, inexcusable. Leading anti-corruption charity Transparency International UK produced a 2024 report, “Behind the Mask”, which found a total of 135 high-risk covid-19 contracts, totalling £15.3 billion. Many of those were awarded without competitive tender, and were rushed.
Tom Hayes (Bournemouth East) (Lab)
In Bournemouth, Christchurch and Poole, up to 1,400 people died because of covid, and many in my constituency are living with grief, trauma and long covid. When I speak to GPs, they are rightly pleased with and proud of their role in vaccinating our town and country, but they feel that this role has been forgotten. Does my hon. Friend agree that we must remember the contribution of our GPs as vaccinators, and send the signal that this House thanks them?
Phil Brickell
I welcome my hon. Friend’s contribution. We should thank not just GPs, but all the key workers who were vital in ensuring that our country could keep going, and who kept us safe during those terrible years.
Returning to the point about Government procurement, the VIP lane disproportionately favoured companies with political connections, rather than prioritising value for money or capability to deliver. The National Audit Office found that suppliers on the VIP list were 10 times more likely to secure a PPE contract from the Government than those who came through the ordinary lane. That would be all well and good if those contracts had provided any sort of value for money, but the Good Law Project revealed that such contracts were 80% more expensive than other suppliers were. Indeed, some contracts were agreed at more than four times the average unit price.
To close, in order to truly honour the legacy of the hundreds of thousands who tragically lost their life in the pandemic, we must act on the lessons learned during those awful few years. We must ensure that there is a proper Government procurement system that can secure public trust.
(6 months, 1 week ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Tom Hayes (Bournemouth East) (Lab)
In less than a year, this Government have recruited 1,700 new GPs, delivered 3.5 million new appointments and cut waiting lists by more than 200,000. Just today, we heard in the Chamber the good news from the spending review: a record cash investment increase, in real terms, of 3% every year up to 2029, the equivalent of £29 billion extra a year. That will help to put our NHS back on the road to recovery.
In Dorset, we are already seeing the impacts of the investment. Dorset ICB has seen 13,600 extra urgent dental appointments. The public health grant for Bournemouth, Christchurch and Poole council is up from £22 million in 2024-25 to £23.3 million in 2025-26. There have been four surgeries identified for enhancement in Bournemouth, one of which is in my constituency, and the waiting list for University Hospitals Dorset trust is down by 1,715 between July and now.
Lloyd Hatton (South Dorset) (Lab)
I thank my hon. Friend for giving way, and for setting out so clearly the work this Labour Government are doing to fix our NHS. Will he take the opportunity to welcome the investment of some £100 million being delivered by this Labour Government that will totally rebuild the emergency department and critical care unit at Dorset county hospital? Does he share my belief that fixing the front door of our national health service is essential for driving down waiting lists in Dorset?
Tom Hayes
My hon. Friend makes a powerful point. I, of course, welcome that investment and it will benefit both his constituents and mine.
We are also seeing significant investments in the Royal Bournemouth hospital. Just yesterday, I was standing on top of the Coast building at the hospital, at the topping-out ceremony. The Coast building will feature 110 new beds across four floors, a larger kitchen and a catering facility. If we look across from the top of that building, we will see the new £91 million Beach building that houses the emergency department from the Royal Bournemouth. Services moved into that building in May, and it will also contain a maternity unit, critical care and a children’s unit, which will be moving in next year.
These developments are all part of a £500 million transformation of University Hospitals Dorset sites, which is much needed and will have a critical impact. These investments across hospitals, and across Dorset, will improve care for the people of our region—for my constituents—and will support our staff, who have been really looking for light at the end of the tunnel after 14 difficult years of Conservative rule, so that they can care for patients in modern, purpose-built facilities.
I would like more. Despite all the investment and the upcoming reform, I would like the funding formula to be changed so that it reflects the age profile of our local area. The south-west and especially areas such as BCP have a much higher older population, but not the funding to match. Our house prices are high but, unlike in Hampshire, UHD staff do not get pay weighting. I would also like to register concerns about proposals to create new subsidiary companies in Dorset and Newcastle. I have called for a pause in those processes, because I have concerns about the terms and conditions. Existing staff who are TUPE-ed into a subco have their existing terms and conditions protected, but I am concerned that when new staff are recruited into subcos, they do not have existing NHS terms and conditions. That could particularly affect lower-paid roles.
In conclusion, I thank the Government for their prioritisation of our NHS. I feel that the NHS is firmly on the path to renewal and is in safe hands.
(8 months, 3 weeks ago)
Commons ChamberThe key thing about tobacco—as the hon. Member for Worthing West, the expert on public health who is sitting next to the hon. Gentleman, will no doubt confirm—is that people tend to acquire the habit early and, as the hon. Lady said, cannot break it. Not many people are non-smokers at 30 and become smokers at 40. The vast majority of smokers acquire the habit early in their lives. My father probably started smoking at 13. He gave up overnight when he was 75, because the price of Golden Virginia went up. I said to him, “Do you feel any better,” and he replied, “I didn’t feel ill when I smoked and I don’t feel ill now”—but that is another matter.
This issue really relates to young people and children in particular, and that brings me to vapes. I support much of what is in the Bill about them. Schools have an immense problem with vaping. Headteachers and teachers tell me that it is something that they have to be religious in scrutinising, because these things can find their way into schools so easily—in someone’s bag, for instance. Rather as with mobile phones, we must enforce a ban on vapes in schools with rigour. I think that the measures being introduced in the Bill will reinforce that, so I share the Government’s ambition in that respect.
On new clause 12, which stands in my name, I again find it hard to believe that the Government will not accept it willingly, because it simply says that we should review how effective the legislation is. It is probably true that every Bill we debate ought to have something like this attached to it, because it is a good idea—once a Bill has been published, debated, considered and passed into law—that it should be regularly reviewed in such a way.
I understand that the movers of this Bill, its advocates and its enthusiasts believe that they are doing the right thing, and I am not unsympathetic to some of their ambitions. I do sometimes—often indeed—wish that this House was coloured by common sense as liberally as it is peppered with piety. None the less, let me be generous and say that I know that the Minister and others feel that they are doing something noble. However, it is absolutely right, when we legislate in this House, that we do so with the greatest care, with clear and desirable purposes of the kind I mentioned a moment or two ago, appropriate means and measurable effects.
I am moving to my thrilling peroration, but I will hesitate for a moment or two.
Tom Hayes
I thank the right hon. Member for giving way, and I cannot express just how pleased I am that he has. Children make up one in five of our population, but routinely get ignored, so it is no wonder that playground after playground gets closed. If a child is able to make their way into a playground, they are now subject to second-hand smoke, because to date there is no law to stop that. Does he agree with me that one of the great things about this Bill is that we are going to protect children against second-hand smoke and make sure that their health is better as a result?
I agree that it would be better if children were able to avoid either first-hand or second-hand smoke. We have to stop young people themselves smoking. Sadly, too many people do smoke too young. Rightly, as the hon. Gentleman says, we need to prevent their being affected by the smoking of others, so what he said is of course perfectly reasonable.
I will repeat my pre-peroration briefly. I have said that the legislation we pass should have a clear and desirable purpose, appropriate means and a measurable effect. In other words, we need to do the right things by the right means for the right reason. Laws that are unenforceable are not only undesirable; they do us as legislators no favours, for they undermine popular faith in what we do and in who we are. Much of this law is unenforceable for the reasons I have given. Parliament’s history is littered with unforeseen consequences. I foresee, and I hope others might too, that with the improvements the amendments would bring to this Bill, we can avoid some of the worst of those unforeseen consequences.