Smoke-free UK
It is an honour to serve under your chairmanship, Ms Vaz. I am so pleased to speak in this debate and to have secured it alongside my APPG co-chair, the hon. Member for Harrow East (Bob Blackman). As co-chairs of the APPG on smoking and health, we will always champion cross-party support for ending the epidemic in the UK. This debate is about what progress has been made towards a smoke-free country and what more we could do. I want to start by recognising just how much we have achieved in the last five years alone, thanks to the actions of both the previous Government and the current one. The Tobacco and Vapes Act became law. Smoking rates have fallen to below 10% across the UK for the first time ever, and rates are falling fastest among 18 to 24-year-olds. The rate of smoking in pregnancy is at a record low of just 4.2%, saving babies’ lives and supporting families to have the best start in life. Record levels of funding are going to stop-smoking services. Co-ordinated action among agencies also means that, despite claims to the contrary from the tobacco industry, official data continues to show that robust enforcement is controlling the UK illicit market. I am particularly proud that smoking rates in the north-east of England have fallen by a staggering 67% since 2005—the largest drop in England. That is great to see, not just for my constituents in the City of Durham but for communities right across the north-east, an area with some of the worst health inequalities in the UK. Much of that success can be attributed to the regional leadership and support of Fresh. The experience of the north-east clearly shows the huge benefits of establishing expert-led, regional tobacco control programmes to support local areas, as we have had in the north-east over the last 22 years. I am sure that all regions would benefit from this approach. There was a time when smoking rates below 10% in the region would have been unthinkable—a pipe dream—but in our mission to end smoking we have achieved many unthinkable things, and we have never stopped pushing for progress. However, we have not called this debate to pat ourselves on the back and think it is job done—far from it. As we have heard, there are still 4.9 million smokers across the UK, and smoking is increasingly becoming an issue of health inequality. The inequality is stark: if current trends continue, people with a degree will reach smoking rates of less than 1%, while people with no qualifications are not expected to reach that same milestone until 29 years later. That gap should concern us all, because it shows that progress is not being felt equally across society. I was pleased recently to bring together stakeholders, on behalf of the APPGs on smoking and health and on poverty and inequality, to host a roundtable on the link between smoking and poverty. Smoking is a well-known health issue, but it is also a direct driver of poverty. It is a preventable contributor to the cost of living crisis for millions of people experiencing tobacco addiction. Smoking pushes 417,000 households below the poverty line. Last year, one in four people who smoke went hungry after skipping meals, and people who smoke are nearly three times as likely to use food banks. The roundtable included some insightful discussions about how we can make support for smoking cessation available in food banks and other community settings— reaching people where they already are and making it easier for them to access support. Moving forward, opt-out support must be the way we work. It would be great to hear from the Minister what progress has been made on the manifesto commitment on opt-out support in routine care. At the event, I was pleased to hear from Gillian and Hannah, who came to share their lived experience and spoke to us so openly. As the hon. Member for Harrow East alluded to, hearing someone say that they would buy cigarettes before buying food for their children, and that they only ever managed to take their children on holiday once they quit, shows how cessation can give not only freedom from addiction, but financial freedom too. The good news is that there is something we can do about it. Smoking is not inevitable. Tobacco addiction can be broken with the right support. That is why it is so important for the Government to publish a road map to a smoke-free country that sets out how we can target support to the right people and build on examples of best practice. We also need a new target. Smokefree 2030 is very unlikely to be met, and a less than 5% prevalence still leaves millions smoking. This Labour Government should be bold and set a date by which we will pledge to see smoking rates below 1% in all groups across society. We can introduce a levy on industry profits to fund programmes to support smokers and still have cash to spare. We can also use the powers in the Tobacco and Vapes Act to ensure that all tobacco products are comprehensively regulated and to take a balanced approach to vapes and other nicotine products. We need to ensure that a variety of cessation aids, such as medication and vapes, are available to smokers to help them on their quit journey. The recent Cochrane review confirmed the effectiveness of vapes in supporting quitting, and we must not forget that, on average, it takes 30 attempts to quit. The regulation of vaping products is necessary to reduce their youth appeal, and the Government are right to be pulling multiple levers to achieve that aim, including a crackdown on rogue sellers through new planning powers for councils, the incoming licensing and registration scheme, and the vaping products duty, which came into effect at the start of this month. A road map that situates vaping policy as part of a wider strategy on smoking and public health would help to enhance this long-overdue regulatory agenda. However, it is a complex area; has the Minister considered convening an expert group of some kind? This Government will be remembered as the Government who signalled the beginning of the end for smoking with the smoke-free generation, but we could be the ones to end smoking for good. I look forward to hearing from the Minister and to working with her to ensure that we do just that.