Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 363-379)

MR HUGH ROBERTSON, MR BRIAN REVELL, MS PAULINE ROBSON, MR VINCENT BORG AND MR MICHAEL AINSLEY

17 NOVEMBER 2005

  Q363 Chairman: Could I welcome you at the final session for this morning and thank you very much indeed for coming along. I think first of all I would just like you to introduce yourselves and your organisations so we have got it on the record exactly where and who you are.

  Ms Robson: I am Pauline Robson from the Transport & General Workers Union and I am an area boss representative for the North East.

  Mr Revell: My name is Brian Revell and I am National Organiser of the Transport & General Workers Union for the food and agriculture sector.

  Mr Ainsley: Michael Ainsley, I am the GMB Organiser for the casino and leisure industry.

  Mr Robertson: Hugh Robertson, Senior Policy Officer for prevention, rehabilitation and compensation in the TUC.

  Mr Borg: Vincent Borg, from Unison's Health and Safety Unit, Assistant National Officer.

  Q364  Chairman: Thank you. Could I ask you all a question here. What should the Government do to protect employees from passive smoking exposure?

  Ms Robson: A complete ban.

  Mr Revell: A complete ban.

  Mr Ainsley: A complete ban.

  Mr Robertson: There should be a complete ban with some small exemptions for places in someone's residential home, for instance.

  Mr Borg: Yes, I agree, with small exemptions.

  Q365  Chairman: The next question is what do you think of what we are led to believe is the Government's partial ban that is doing the airwaves at the moment? Do you have a view on that?

  Ms Robson: I would not agree with that at all. Maybe if I could explain, I work in a pub in Newcastle which is licensed for 300. It is quite a busy pub and even if 150 people in the pub are smoking, and we have had new ventilation put in by a new company that just started in the summer, the smoke levels are far too high. I think all workers have a right to a smoke-free environment. Can you imagine this room, and I counted the number when I came in there were about 60 people in here, my pub is about two-thirds the size of this, can you imagine maybe another 100 to 150 people in here with half of them smoking? You might go to a pub say two or three times a week. You might actually spend about eight hours a week in the pub. Our staff spend 40 to 50 hours a week in the pub. We are talking about sessions of eight to ten hours of constant smoke. Apart from the fact it gives you cancer, even if you do not get the cancer, you get sore eyes, you get a sore throat, you stink when you go home, your hair stinks. I think the Government has missed it and there should have been a complete ban in the beginning. I listened to what the gentleman from Ireland said before, and it is very, very true what he says. If you have got no smoking in the pubs you do not have to decorate so much, you do not get so many holes in the furniture, and your insurance is bound to go down. You may lose a few customers but you will probably find you get new ones. You will get the ones who never went to pubs who will start going to pubs. You will get more families going and you will get more children going. It works in America. I have been in America and there is nothing wrong with going outside and having a cigarette. I am sorry, I am ranting, I will let somebody else answer!

  Dr Taylor: I think we want her to talk to the Prime Minister!

  Q366  Chairman: That is not within my gift but thank you very much for that anyway. Just before I move on to some of my colleagues, we were out in Dublin last week and we took evidence from two trade unions there. Have you been in touch with the trade unions in the Irish Republic about what and why they did what they have done?

  Mr Ainsley: Absolutely.

  Q367  Chairman: Did it change any minds, to your knowledge, in terms of sections of the British trade union movement?

  Mr Ainsley: Certainly what we have done is we have spoken to Mandate who campaign on this issue. They showed us that there has been no drop even in the prevalence of smoking. I think they said there was one cigarette per day which is deemed to be smoked less. What it has done is those people who frequent pubs do not have to worry about other people's tobacco smoke. That is what our position from the trade union movement is. This is not for us a public health issue, it is a workers' health issue. If somebody wants to smoke a cigarette that is entirely for them, it is their choice to do so, but they do not have the right or the choice to force somebody else to smoke that cigarette with them. That is our position and we are bewildered, I have to say, that the Government have taken this coward's way out because they are fully aware of all of the evidence. In fact, they have published documents themselves. There are government documents here and I will pass these round for anybody to have a look at. It lists the constituent parts of tobacco smoke. Why anybody should be exposed to that is amazing, why people want to expose themselves to it is amazing, but why somebody should expose somebody else to it is criminal. I do not believe that if that was being pumped out of a factory chimney that the HSE would allow it to continue pumping it out. It would be stopped directly. The Government paper from a few years ago, which you will all be familiar with, challenged cutting smoking as the leading cause of preventable death. That is why we are here, not because we have got some issues ourselves but because we represent workers, and workers are being exposed to other people's toxins, carcinogens and tobacco smoke on a daily basis, and it has to stop. There has been some evidence to show that there are round about 600 workers per year dying of second-hand smoke. That would clear the Commons. Everybody in the Commons would be gone through somebody else's tobacco smoke.

  Q368  Jim Dowd: We hear this figure and sometimes it is 600 through passive smoking and sometimes it is 700,000. How is that figure calculated?

  Mr Ainsley: The figure I quote of 600 is workers who are exposed to second-hand smoke.

  Q369  Jim Dowd: Yes, but how is it calculated?

  Mr Ainsley: Again I am not a scientist or a doctor.

  Q370  Jim Dowd: You are just repeating it?

  Mr Ainsley: I am repeating it because that is my job. I am availed of the facts. I do not need to go out and find out what those facts are. If somebody tells me it is dangerous to drive on the pavement I have to accept that it is dangerous to drive on the pavement.

  Jim Dowd: What an astonishingly compliant man you are! Have you got no curiosity?

  Q371  Chairman: We have had evidence from the Royal College of Physicians on this, both in terms of secondary smoke and deaths in this country, and I think they used a figure overall of secondary smoke of 12,000, and they said it is certainly thousands. Of course, it is a lot less in public enclosed places in view of the fact that most secondary smoking is obtained at home, as it were, in domestic premises, but nonetheless I do not think anybody would dispute the science that there are deaths from that.

  Mr Ainsley: If I could just add to that. We can argue about the statistics forever. I do not think there is anybody, smoker or non-smoker, that would argue that tobacco smoke is not harmful. If it is harmful to the smoker why is it then not harmful to the person who does not choose to smoke.

  Q372  Chairman: Some of my colleagues will want to come in but trade unions in this country, and I suppose in many others as well, have a long track record of both representing people at work and on odd occasions getting involved in litigation for harm that is done at work. In the industry in which I used to work it is a full-time job for many thousands of people at this current time. What litigation has there been or threatened within the TUC and its membership groups against employers who you believe to be reckless in a sense?

  Mr Robertson: There already have been a number of cases that have been taken against employers. The problem of course with second-hand tobacco smoke is that proving cause and effect is very difficult so the cases that have been taken have mainly been around asthma and emphysema. It is people, including bar workers and other workers in a residential home, who have been unable to work because of second-hand tobacco. They have given warning to their employers, nothing has been done and as a result they have had to leave. They have therefore taken it under the basic negligence of duty of care. In terms of taking a case for someone who actually dies as a result of second-hand tobacco, it is very difficult to prove that was a result of what happened within the workplace, so cases like that would be very difficult to take at present, I am afraid.

  Mr Revell: We recently had a case where a woman suffered from a worsening asthmatic condition, which caused her to cough so violently that it created a hernia and also pelvic floor collapse. We pursued a personal injury claim against the pub owners and this one was actually settled out of court in favour of the woman, but I have got a suspicion that, just like the nuclear industry, a lot of pubcos will be settling out of court rather than it becoming established on the record through the courts.

  Q373  Chairman: That was a local government worker I think in the town of Preston a number of years ago. Perhaps you could tell us about that?

  Mr Borg: I am not familiar with the one in Preston. I am aware that Unison has brought a number of cases. There were a couple against Stockport Metropolitan Borough Council where our members have suffered years of passive smoking at work. One member, Veronica Bland, eventually developed chronic bronchitis. She received £15,000 from Stockport Metropolitan Borough Council in 1993. In 1995 Beryl Rowe received £25,000 compensation from Stockport Council. She had to retire on ill-health grounds after suffering eye, nose, throat and bronchial hypersensitivity. This returns if she goes into a smoky atmosphere. The council had increased her exposure by shutting down the ventilation system in the office. If I could take the opportunity to comment on one other issue. It seems we all know that passive smoking is dangerous and it is recognised even by the present Government that passive smoking is dangerous. That is why there is a proposal for the ban, but it is a partial ban which seems nonsensical. The distinction seems to be if a pub does not serve food it will be exempt. There is an implication there which seems to suggest if you eat in a smoky atmosphere it is worse for you. That is the only sensible interpretation of that and that is clearly not the case. case. We know passive smoking is dangerous because of inhalation and that happens whether you are in a pub that serves food or a pub that does not serve food.

  Q374  Dr Naysmith: Can I just pick up Michael's point. When we were in Ireland (and you have said something similar) it was very clear that the whole thing had been treated right from the start as a health and safety at work matter. They claim that is why it has been so successful in making it work because once you have established that passive smoke causes problems for the workforce, you then find it very difficult to logically talk about exemptions. They also said that this was discussed pretty well before the ban came in by the Irish government. I have two points to make. Firstly, why do you think our Government has gone along that particular line of mixing up two or three different objectives all in one bill and, secondly, have there been discussions with the trade unions about what shape the bill it should be at all?

  Mr Robertson: No, in terms of discussions that have taken place, the unions have made a number of representations as opposed to having discussions with ministers over recent years over a ban. The advantage of the Irish ban is it was clear, simple and understood and therefore it was almost self-enforcing because there are no exemptions all over the place so therefore people know they do not smoke in public places in work places. Also they did the education job as part of the build-up to the bill. There was a very good education campaign. I went over at the time it was going on to ensure that there was an understanding of why it was being brought in. The unions have always said that in actual fact because second-hand tobacco smoke is a carcinogen and it is created from workplace activities, it should be treated in the same way as any other workplace carcinogen, and should be banned as far as reasonably practicable and it is reasonably practicable; you just do not allow people to smoke. The Scottish Executive would have liked to have gone down that path but, of course, health and safety is not a devolved function and that is why they have also had to do it in the public health one. The English Bill is also going to cover it under the public health Bill and we can understand why. The primary role from the trade union point of view is to protect workers. We welcome public health issues, of course, but this should not be seen primarily from our point of view as a public health Bill. We see it as being a very basic, bread and butter, simple, health and safety issue about which there should be no arguments.

  Q375  Dr Naysmith: Can you see any way of getting it back onto the rails of being that in this country or is it too late?

  Mr Robertson: The Health and Safety Commission have put in a submission to the Government as part of the consultation where they supported a full ban. It is part of a health Bill and I do not think it would help if it was now taken away and looked at separately instead. I think the answer is to remove the exemptions because in effect that would make it a health and safety Bill.

  Mr Ainsley: The Government needs to make a case for why there should be any exemptions. It is called a Health Improvement and Protection Bill. Who are they going to protect? Why are they deciding that some workers do not need protection? Why is it that their health is not important? We cannot see any logic in this whatsoever. It is not as though it is a difficult thing to do. Everybody else is doing it, New York, California, New Zealand, Norway, Sweden, you name it. Everybody is accepting that if an individual wants to poison themselves that is entirely up to them but they are not entitled to do it to anybody else. The Government is fully aware of the situation. They are putting warnings on cigarettes warning a smoker that they are poisoning themselves and other people. There is no point in telling somebody who is addicted that they are harming somebody else, you have to tell everybody else. It is everybody else who has the right to know that, not just the smoker.

  Q376  Charlotte Atkins: I should declare that I am a Unison member. I want to ask you about the issue of exemption. Mr Robertson said that you would accept certain exceptions. I do not think anyone would argue nowadays that because you know it is going to be smoky in a pub those workers should not be protected. I know that is an argument that has been used in the past. Having said that, there are still certain exemptions and I would like you to go through those exemptions and indicate to us how we can protect those workers in those particular situations because I think it is difficult. You are from the TUC and you are indicating that you have a slightly different view.

  Mr Robertson: There are a number of areas where we would support an exemption and it is primarily where someone is in a workplace which is also residential accommodation, for example prisons, secure mental units and ships as well.

  Q377  Charlotte Atkins: And oil platforms?

  Mr Robertson: That is another example. To tell people who are actually in these places that they have got different rights to smoke, that they cannot smoke as individuals at all because people in secure units in prisons cannot just walk out the door and smoke outside, is not a possibility. We recommend there should be circumstances where there are exemptions. However, in order to protect the staff and to protect the other people in there it should be restricted either to separate rooms or, if they have an individual room, to their own room. There should not be a blanket ban, it should be for the residential part and only where they are not affecting anyone else. The rest of the areas where people work or congregate should certainly not be seen as having a blanket exemption.

  Q378  Charlotte Atkins: Staff will still have to go into prison cells and they will still have to go into the areas that psychiatric patients occupy. What are you suggesting in terms of protecting that workforce? We do not want a workforce that is subjected to unacceptable health impacts whereas others are free of that.

  Mr Robertson: Absolutely. You will also get that in the case of people who visit people in their homes, for example health visitors and many members of the unions here. It is a very difficult area and that is one where we did say in our recommendations there has to be strong guidance to protect the staff. However, I do think there would be problems if you were just to put a blanket ban on all residential areas. If smoking is to be allowed, it has to be under very controlled conditions, in separate rooms with proper ventilation so that it is not affecting the staff in particular but also other residents who choose not to smoke.

  Q379  Chairman: Pauline, Charlotte mentioned this issue about people's rights to go to the pub. Nobody would argue that if you go to work in a pub you have certain rights, but some people say if you go to work in a pub you know that people smoke in a pub and you are walking into it, it is your choice. What do you say to that argument?

  Ms Robson: I have worked in a pub for 35 years and 35 years ago smoking was not an issue. I did not even think about it when I was younger. It is only as you become more educated and when you see the advertisements that are coming on the television now—there is that new one where you see the clot going up the vein, it really freaks you out—that you are encouraged not to smoke. I work in a pub, we take about £40,000 per week, it is a busy pub and we have about 46 staff. I went to them before I came here and I asked them about this. A lot of them are students who are just working in the pub for extra money while they are at university and a lot of them are smokers, but because they have been educated to know how bad smoking is they are quite concerned about it. They do not really want to make a career out of it, it is like a stopgap. It was weird when I got the e-mail from the Health Select Committee. It appeared to me that you were writing off some workers as though they did not matter because they worked in the industries where people go in to smoke. I think a total ban would be the best thing. Everybody would know where they stood and there would not be some playing off against others. We owe the next generation good healthy living and we should show them an example. When this was voted on in Parliament I wonder what percentage of those that voted to keep it were smokers.


 
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