Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 160-179)

DR STEVE STOTESBURY, MS CHRISTINE MOHRMANN AND MR BARRY JENNER

20 OCTOBER 2005

  Q160  Dr Stoate: I am not saying it does not work.

  Mr Jenner: It meets the threshold that passes the needs and preferences of people in other Member States. We are trying, with our investment in the study—and we would look to be able to work with Government, because we think that is important in trying to develop practical, meaningful solutions that do not discriminate against workers—to understand and work with them to establish an air quality standard, perhaps, that could be widely adopted and employed so that those aims could be adequately achieved without discriminating against those 12 million adults in the UK who, after all, do make an informed adult decision to smoke tobacco products.

  Q161  Dr Stoate: Surely the only adequate protection for employees is one that reduces their risk pretty much down to the backline level. We have heard that ventilation just does not achieve that. Are you saying that those studies are wrong and that ventilation does achieve the atmosphere to which workers are entitled?

  Mr Jenner: I did not say that study was wrong and I am not saying that this study you have in mind is wrong either. Clearly, as far as employees are concerned, it is the case that 88% of the workforce in the United Kingdom are already covered by restrictions and regulations that establish a very clear smoking policy in the workplace. There are only 8% of employees in the United Kingdom who are not covered at all by such a policy. The 4% difference, I understand, being the self-employed and people who work outside.

  Q162  Dr Taylor: Ms Mohrmann, you talked about signage. Is there any evidence that signage works? The Government have health warnings on packets of cigarettes. Is there any evidence that those have any effect?

  Ms Mohrmann: It is about providing information to a consumer for them to be able to make their own decisions about whether they enter into an establishment. We think it is very important that the Government continues to communicate the public health messages on smoking in public places and in general on tobacco related issues.

  Q163  Dr Taylor: Has there been a reduction in smoking generally since the Government put the health warnings on packets?

  Ms Mohrmann: I think you have to take into a lot of consideration the many factors that could impact, let us say, smoking rates within the country. Health warning labels may be one of those factors, but there are certainly a lot of factors to take into consideration.

  Q164  Anne Milton: Do you support the Government in its aim of reducing both the number of people who smoke and the number of cigarettes that smokers smoke?

  Mr Jenner: We support the Government in the aim of providing information for people to be able to make informed choices. As referred to, the advent of health warnings in 1971 certainly illustrates that, and we have worked with Government to safeguard their overall strategy. We are concerned with recognising that 12 million people still choose to smoke tobacco products, whilst we support the Government in its aim to seek a solution that talks about restriction rather than bans, and to work with them. There are many facets of the proposals that our company support. We support the notion that people should not smoke at the bar area in front of bar workers, for example. We support the notion that adult smokers should be courteous, considerate and employ commonsense: they certainly should not smoke around very young children, for example. We agree with the point about signage, both externally to the venue and internally, so that people have the information as to the smoking policy. There is a raft of aspects of the proposals as being deliberated here today that we support, but it is the case that the UK duty paid market has contracted in the UK every year since 1973.

  Q165  Anne Milton: But you would be happy if people smoked less.

  Mr Jenner: I think it is a situation where we are happy that people can have the right to enjoy, whatever situation they are in, the right to smoke a cigarette should they so choose. That is why, for example, our view is that the provision of separate areas is a sensible and practical way forward. That seems to us to strike the right balance between responsibilities and freedoms and in our view an outright ban is not really necessary to achieve the Government's goals.

  Q166  Anne Milton: Could I ask you Dr Stotesbury and Ms Mohrmann your views, please?

  Dr Stotesbury: We recognise that other people's tobacco smoke can be annoying. It can lead to concerns of health. We would support the Government in restrictions, but we do not believe that that necessitates an outright ban. We think there are practical solutions which allow choice and that is what we would support.

  Q167  Anne Milton: So your issue is bringing choice into it.

  Dr Stotesbury: Absolutely.

  Q168  Anne Milton: Rather than legislation.

  Dr Stotesbury: I think you can achieve it through legislation or through voluntary agreement and I would argue that the voluntary agreement that we have seen in place between the Government and the hospitality sector over the last six or seven years has in fact delivered an amount of choice. There is much more provision of non-smoking pubs and segregation of smokers and non-smokers, and I think that is a good thing.

  Q169  Dr Stoate: You say that voluntary agreement can work. It certainly did not work with advertising, which is why the Government in the end had to legislate. The voluntary codes which were set up with the tobacco industry over very many years failed to deliver. That is why the only argument was to go down the legislative route, which did produce results. The tobacco industry does not have a good record of voluntary codes being effective.

  Dr Stotesbury: As I said, this agreement was with the hospitality sector. I believe that it worked extremely well.

  Q170  Charlotte Atkins: What evidence can you give this Committee that that voluntary approach actually worked?

  Dr Stotesbury: Under the voluntary approach, it was all about targets of signage, as Christine has said, and provision of non-smoking areas/smoking areas within that. They were all met within the given timeframe.

  Q171  Charlotte Atkins: How many outlets were affected by this? If you could give us the detail on that, unless you have it in front of you now.

  Dr Stotesbury: I do not have the detail in front of me now.

  Q172  Charlotte Atkins: We do need to have that. You are saying the voluntary approach works. We are being told by our advisers that that is certainly not the case. The Public Places Charter scheme was introduced by the Smoking Kills White Paper in 1988 in order to control smoking in public places, but the charter targets were not met according to our evidence and nearly half the licensed premises whichwere charter compliant allowed smoking throughout the whole public licensed area. If that is the case—do you dispute those figures?—then clearly it did not work.

  Mr Jenner: The data the DoH required showed that where effective smoking policies were in place in premises, through the work that we had done, together with the hospitality interest, increased in 1995 from 15% of all establishments to 63% in 2003, concluding that that figure would have been even greater in 2004. That was data collected by the DoH itself. I think we refer to that specific study in the submission to which we are a party through the TMA. I think you will find the detail in there. For smoking areas throughout the target, it is my understanding—although we will certainly check with your permission, Mr Chairman—those set standards were met and were met by some margin actually.

  Q173  Charlotte Atkins: You are saying 63%, so over one-third were not compliant.

  Mr Jenner: I think it just demonstrates the terrific strides that can be made in a voluntary approach. As I mentioned, it is clear, although the DoH data is not available for 2004, that for sure it would have been exceeded in 2004. All I am saying is that the move from 15 to 63% demonstrates how significant and great strides can be made by working in partnership with all the stakeholders.

  Q174  Charlotte Atkins: That may well be the case but you always come back, do you not, to the hard core. In earlier evidence I was disputing that if you have exemptions then you are going to have a situation in inner city areas, for instance, where you have drinking-only pubs that become cancer dens effectively. You may well have got it to 63%, but, usually, when you have a voluntary approach the easy targets are met first. How do you progress that using the voluntary route to hit the hard targets? How are you going to find the over one-third who were not complying? How do you then move it on? How does the voluntary approach do that?

  Mr Jenner: I think our view slightly earlier on was that there can be a balance between responsibilities and freedoms and not bans. We are in favour as a company of further restrictions. That is why we do prefer the solution which accommodates not only a minority but a significant tranche of the population, wherever they are domiciled, so that they can enjoy their pleasures, whether it is a drinking den, or whatever the phrase you used was, or a country establishment in rural wherever. I think the provision of separate designated areas where there is information available to all to make a judgment, an informed choice, seemed to us to balance those responsibilities and freedoms that I guess all of us hold dear.

  Q175  Charlotte Atkins: How do you move it on from the 63%? That is the easy target. What about the over one-third who are not complying? This is since 1998. Presumably we have now hit a plateau. How do we move from that plateau to get compliance in the other areas? I would like to know from you what aspect of the voluntary approach, what new development within the voluntary approach you can give to us to indicate that there is going to be some movement via the voluntary approach as opposed to via the legislative approach.

  Mr Jenner: I think we are very keen to be party to a framework, whether voluntary or not or whether it is a framework that has very clear regulations, that can set out very clearly the options available to those who choose not to smoke and those who choose to do so. That can be a separately designated area, with ventilation. There are low costs in—

  Q176  Charlotte Atkins: Do you mean a smoking room within a pub?

  Mr Jenner: A separate designated area where it is practical, reasonable and cost-effective so to do. If you take, for example, a situation with a rural area, where there may only be one bar area, then it seems to us that an appropriate way forward would be for the landlord, the proprietor of the establishment, to determine with his clientele what the policy should be. That seems to us to be a very sensible, commonsense, pragmatic approach.

  Q177  Charlotte Atkins: Is it an equally pragmatic approach for the smoker to go outside, have a quick cigarette and come back in again?

  Mr Jenner: That is what they do in the Republic of Ireland, but you can look across the European Union as a whole and you will find a range of solutions to this topic which extend from exemptions for hospitality areas on the one hand, to regulations in hospitality areas, to ventilation in some instances, for example in Italy. I do not know why necessarily the word "ban" had to come into play, because there are a lot of alternatives to achieve, I am sure, the overall aims of the Government.

  Q178  Charlotte Atkins: You have not yet given me an alternative to get into this hard core. What new approach under the voluntary regime can we adopt to get to the over one-third number of premises that are not complying and have not moved on under the voluntary approach?

  Mr Jenner: As I think I mentioned, it is to move from a conversation around, in your words, a voluntary approach to a framework, or, if you like, a proposal that the Government has in mind, and our view simply is to accommodate the needs and wishes of all parties and a balance between responsibility and freedom. A regulatory approach that can be derived from a framework, a menu, if you will, seems to go some way to allaying your concerns.

  Q179  Charlotte Atkins: A framework does not do very much to meet my concern about going into a pub in one of my villages in my constituency and not having to be affected by second-hand smoke.

  Mr Jenner: I think the opportunity to have clearly delineated areas, to have information prior to entering the establishment, and certainly within it, of what the facilities are in there, and clearly, as I have already mentioned, if it is the single bar solution, then we have given a way forward where we think that everyone can be adequately accommodated.


 
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