Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 400-419)

MR BILL CALLAGHAN, MS DEBORAH ARNOTT, COUNCILLOR DAVID ROGERS OBE, MR DEREK ALLEN, MR GRAHAM JUKES AND MR IAN GRAY

24 NOVEMBER 2005

Q400 Chairman: I just wondered whether the Health and Safety Commission would be a party to drawing the regulations up as opposed to commenting on them when they have been drawn up. I do not know where within Government the advice would come for what should be in them.

  Mr Callaghan: I have statutory duties to advise ministers on regulations drawn up under the Health and Safety at Work Act. Obviously this matter is being introduced under public health legislation. I think you know about my letter to Patricia Hewitt. I do think we have a locus. I think the Commission would want to express a view. We have expressed very clear views already and I am sure my Commission will want to maintain a close interest in this not just in terms of the protection of workers but also in terms of what might then be the knock-on effects in terms of HSE inspector resources and environmental health officer resources.

Q401 Charlotte Atkins: One of the Government's arguments appears to be that smoking in pubs and clubs is popular and therefore it should be allowed. What is your response to that in terms of workers' health in particular?

  Mr Callaghan: Our view is that workers should not be unnecessarily exposed to harmful substances. We have not taken a policy view on the popularity of smoking or not, but in terms of should workers be exposed unnecessarily, it is clear that they should not be.

Q402 Charlotte Atkins: In your previous job you would have recognised that some unions in the past in particular used to take a position that workers in dangerous circumstances and dangerous workplaces should be paid to cope with that danger. Do you think perhaps that is a way forward for people who work in pubs, that they should be paid more to recognise the unfavourable and unhealthy conditions?

  Mr Callaghan: I am certainly aware of that point of view which some of my former union colleagues put forward. With my present hat on, no, I would not accept that point.

Q403 Charlotte Atkins: I assume you did not accept it when you were back at the TUC either.

  Mr Callaghan: I did not, no. Looking at the construction industry, we would not accept, for example, the view that you are compensated by getting more money just for working in a dangerous environment. We would expect employers to exercise their duties under the Health and Safety at Work Act to reduce those risks.

  Charlotte Atkins: When I was a former Head of Research at UCATT I did not accept the dangers of asbestos either. Thank you.

Q404 Dr Taylor: I want to explore the whole question of enforcement and this really affects most of you except for Deborah. You have already said that the two-tier system will cause problems. Could you start by comparing and contrasting the ease of enforcement of the total ban and the partial ban?

  Mr Callaghan: An extra complexity, of course, is what is going to happen in the devolved administrations. We know that in Northern Ireland and in Scotland they are moving towards effectively a total ban and I think that is likely to be the case in Wales, so you are already getting some complexity across the United Kingdom.

Q405 Dr Taylor: Your organisation covers right across the whole UK, does it?

  Mr Callaghan: Our organisation covers Great Britain, but obviously we are in very close contact with colleagues in Northern Ireland and also in the Republic of Ireland, and we have talked about this quite a lot amongst the three organisations involved with health and safety.

Q406 Dr Taylor: So it puts your organisation in an extraordinarily difficult position.

  Mr Callaghan: And local authorities as well because I think the expectation is that, particularly as we are now concentrating on pubs and licensed premises, our local authority colleagues will be in the lead. The Commission's responsibility does not just cover Health and Safety Executive inspectors, we also have an overall responsibility for what our local authority colleagues do. They act as an enforcing body on behalf of the Commission's policy. If you have a simple regulation, that is much easily enforced and I would say you are going to get good self-regulation. A clear regulation where everyone knows what is going to happen is going to be much simpler to enforce than one which has a degree of complexity.

Q407 Dr Taylor: This is exactly what we learnt when we went to Dublin. The people who have to do the enforcing, would you like to add anything?

  Cllr Rogers: There are a couple of points I would like to make. Firstly, if the system is to be more complex then it will be more costly to enforce. The estimate we have is that if there are to be exemptions for pubs not serving food the cost would be something like 50% higher than if those exemptions did not exist.

Q408 Dr Taylor: Is that because you would have to employ more staff?

  Cllr Rogers: It is largely that. The Government's New Burdens Doctrine would involve the local authorities concerned being reimbursed for those additional burdens. As to the effect on individual local authorities or environmental health officers, I think Mr Allen from LACORS is better qualified to answer that point.

  Mr Allen: We have concerns regarding the ability to enforce it if it is a two-tier system. The emphasis for us is really about self-regulation, it is about supporting businesses with compliance, which really underpins the recommendations that came out from the Hampton Review, ie that it is important that legitimate businesses can be supported in complying and making it simple and transparent in terms of the legislation, and that is helpful. Having a two-tier system will make enforcement difficult. I think definitions around food and enclosed spaces, etcetera, will also make it more difficult. There are some calculations that may have to be undertaken to determine what an enclosed space is and what a definition of food is. Our view is there will be a cost anyway and we do not want it to be so proscriptive that it says it must be environmental health officers or it must be trading standards officers. If it is a responsibility for the local authority to undertake this enforcement then we need to field who we think is most appropriate to do that, and there will be opportunities for some joint visits. As you will be aware, today is an important day in terms of the Licensing Act. Local authorities have a key role in enforcing those measures in the licensing regime and it may well be that we can use some of that joined-up working to have a more efficient enforcement regime.

  Mr Jukes: The Chartered Institute's membership goes right across the board. We are not just in local government, we are in government and we are in the industry providing advice and support. Frankly, you can enforce anything if you put resources into it. You can take a view that this must be done and here are the resources to achieve it. What we believe fundamentally is that any exemptions and indeed complexities that are being suggested are a complete and utter waste of public funds and resource when we should be spending that resource in trying to deal with some of the fundamental issues of inequalities in health and some of the other issues which the Government wishes us to tackle and for which scarce resources are currently available. Trying to make something more complex when there is a simple issue here about protecting all workers is a very clear message that the Chartered Institute would want to get over to the Health Committee. The Government is trying to make something very complex out of what is quite a simplistic way of approach to protect all workers. The key to compliance is voluntary compliance and management good practice. As Derek has mentioned, we have the mechanisms of the licensing regime that have just been brought in, we have the mechanisms of being very clear about how we enforce food safety and health and safety in pubs and clubs and in other places. It just seems to me that to make additional exemptions in an area which is quite complex anyway is actually going to confuse not only the general public, it will confuse the enforcers, it will confuse the advisers to those pubs and clubs and businesses and it will not create a level playing field. I think it is an absolute waste of public resource.

Q409 Dr Taylor: How do we persuade the Government that they have got it wrong in your view?

  Mr Jukes: I hope they will listen to the evidence that we have given extensively and indeed the evidence in your initial report and listen to the medical support, which I believe is unassailable, that there is a health issue here. The real question is how one enforces it efficiently, effectively and simply and gets the public to back what is a very sensible measure.

  Mr Gray: We also think there is an ethical issue here that we would like you to express on our behalf. We provide services and protection for everyone in the workplace. How will we explain to people who work in pubs and clubs that they are not protected when the office worker down the road is? We think there is an ethical issue here that needs to be taken seriously.

Q410 Dr Taylor: How do we shift ministers from their complacent view that we are protecting 99% of the workforce and we do not need to worry about the 1%?

  Mr Gray: It is a fundamental principle of health and safety practice that we protect everyone equally; we have never picked and chosen. The whole history of public health legislation is that it protects everyone as best it can; it does not select people for exemption.

  Cllr Rogers: The Local Government Association and the Department of Health have a shared priority to reduce health inequalities and that has been in existence for a few years now and there is a number of projects that are seeking to work in that direction. We believe that the Bill as currently drafted flies in the face of that because it would tend to increase health inequalities. Some of our member authorities working with health colleagues in different parts of the country have done some research on this and I have a couple of figures I would like to quote to you. This is about the current proportions of pubs serving food and not serving food and in some cases the projected proportions that would or would not. For instance, in the London Borough of Southwark, 47% of pubs in the most deprived area of that borough currently do not serve food, whereas only 18% do not in the least deprived part of that borough. In the North East for instance, the most deprived local authority area is Easington, and 81% of pubs there do not serve food. In the least deprived area in the North East, this figure is 23%. So there is already a health inequalities issue there and we feel that would be worsened if there were to be this exemption about whether food is or is not served. If there were to be an exemption for private members' clubs, some of those are also located in areas of higher rather than lower deprivation and they often put on events that involve children attending, that is another way in which we feel that health inequalities would be worsened rather than improved.

Q411 Dr Taylor: There are difficulties with defining food as well. This 81% in Easington that do not serve food, do they serve crisps and nuts?

  Cllr Rogers: Mr Allen is best qualified to comment on the technical detail of that. Yes, in principle the simpler the definition is the easier it will be to enforce. It needs to be in language that the businesses and the public can understand.

  Ms Arnott: The Government has a target under the Public Service Agreement to reduce health inequalities by 10% by 2010 and that is measured by life expectancy at birth and infant mortality. The research at a local level that Mr Rogers was talking about we have backed up by carrying out a national survey of 1,252 pubs around the whole of Great Britain and it shows the same thing. If you look at the most deprived areas, a far higher proportion of pubs do not serve food, something like 45% on average round the country. If you look at the least deprived areas, it is a much lower proportion, it is around 14%. What this means is that the lowest income workers are going to remain the most exposed, the lowest income members of the public are going to remain most exposed and they are also going to be less likely to give up smoking. One of the effects of the smoke-free legislation is going to be encouraging people to give up. This is seriously going to exacerbate the problem of trying to reduce health inequalities and I do not think the Government has taken this on board seriously enough.

Q412 Dr Taylor: In Ireland they have a fairly high level of fines. They pick up breaches very quickly and so they have had a relatively small number, but the fines do seem to be working. Their level of fine is

3,000. Do you think there should be this sort of level of fine in this country too?

  Mr Allen: We have looked at what has been proposed in terms of fines. One of those is related to the non-display of warning notices, that was a £200 fine for failing to prevent working in a non-smoking premises and a £50 fixed penalty for someone caught smoking on those premises and that seems to be quite low. If you compare it with some of the current legislation that relates to tobacco, failing to display a statutory notice in a retail outlet—which is new legislation—is a £1,000 fine, it is level 3. Selling tobacco to an underage person carries a fine of £2,500 and selling alcohol to an underage person carries a fine of £1,000. There are quite significant differences. I think what is currently proposed we would see as being too low.

Q413 Dr Taylor: So you would agree that Ireland have it probably about right, would you?

  Mr Allen: It is certainly higher.

Q414 Dr Taylor: They are fining both the person who smokes and the bar owner who allows it to happen, is that right?

  Mr Allen: That is right. That is what I understand is proposed here. The emphasis has to be on proper and effective control by the management of the establishment, I think that is really important. One of the things that we think would be helpful is to have a clear written policy that needs to be complied with. There is obviously an issue about enforcing this on the ground in a pub where people may have had quite a lot to drink and local authority employers have to go in there and ask someone to stop smoking and also the consideration of issuing the fixed penalty notice. There are some practical issues. I think training is going to be an important element of how we do things. If we can get the management control in the first instance to deal with it at source and deal with that effectively then I think it will reduce the need for that kind of heavy enforcement.

  Mr Jukes: The real key to good enforcement is voluntary compliance and good management practice. I cannot stress to the Health Committee strongly enough that unless we get that type of approach—and that has to be underpinned by simplicity and understanding—then you are not going to get it. You could throw resource at enforcing this legislation but it would not work effectively. One has to get buy-in right across the board and use all the levers of enforcement that we can use.

  Mr Gray: Let me give you an example to do with this definition of food. None of the existing definitions of food is helpful here. The definition of pre-packed food, for example, has the presumption that the supply is to a caterer who will in fact be processing that product further before it is used. There are real difficulties in the public understanding of these definitions. Frankly, food includes drink and so any premises that is serving drink is serving food. The more confusion there is in the minds of the public let alone the trade the less reliable complaints will be made. People will not feel confident in complaining or indeed their complaints will be spurious and that will waste enforcement time.

Q415 Dr Taylor: What should be done now to try and get the public on the side of a total ban?

  Mr Gray: I think this example of the spurious link between food and smoking is a good example. The Government is proposing shelf stable pre-packed products, but that does not include a pickled onion or a pickled egg and it is that kind of ludicrous analogy that beggars belief.

Q416 Dr Taylor: What do you understand by these other definitions of "enclosed" and "partially enclosed" spaces?

  Mr Allen: My understanding is that the basis of that is quite a complex definition. It may well be 70% enclosure. You are going to have to do some kind of calculation on the premises to determine how much of that premises is within an enclosed space. We are saying we need to look at simplicity, eg should it be a single wall with a roof, that may be an enough, so you can see that and it is pretty obvious to everybody that that is considered to be enclosed. Certainly from a management perspective it makes it easier and in terms of the enforcing authority's responsibility. It is a little bit more difficult for the public and this is where we come back to the issue about having these things dealt with at source and good management practice. What concerns us as well is we could spend a lot of time in the courts arguing over what is an enclosed space, what is food, what is a definition—and it could be a charter for lawyers to make money perhaps—but not good, effective and efficient enforcement.

  Mr Jukes: The whole point about enclosed spaces is to have protection in inclement weather for those who choose to smoke. It is about how one creates suitable structures in order to protect customers who wish to smoke of their own volition but not affecting other people. There are a lot of suggestions around 70%. We would suggest that all you need to do is to have a shelter, perhaps 30% of the floor space easily understandable by management, enforcers and the general public, that is what it is there to do.

  Mr Gray: You will have seen examples when you went to Dublin where this allowance has been abused. What the trade have done is extend their premises into some kind of external canvassed area where people are not just resorting to smoke, they are selecting that as their position in that licensed premises for the duration of their visit. That is not our intention. We simply want an overhead canopy to keep the rain off.

Q417 Mr Burstow: The issue of guilty knowledge comes under the Health and Safety at Work Act in terms of the point at which you as an employer or an organisation become aware of something becoming scientifically proven as being a matter of risk to a person's health. We had the hospitality industry represented here last week and I put to them the question as to whether they felt that environmental tobacco smoke and the evidence about its core effects in terms of cancer and health disease were now sufficiently proven that they felt themselves now subject to health and safety prosecution and they effectively said yes to us to that question. Do you feel we have got to the point in terms of the scientific evidence for this that we have crossed that threshold in terms of liability under health and safety legislation?

  Mr Callaghan: There is existing health and safety legislation as a general duty under section 2 of the Act for employers to safeguard the health, safety and welfare of employees. As you may know, under the Workplace Regulations we have provisions, for example, to make sure that people do not experience discomfort from tobacco smoke in rest rooms. What has happened, particularly with the development of the report from the Scientific Committee on Tobacco and Health, is that the evidence about the increased relative risk in non-smokers exposed to second-hand smoke is quite clear. We see that there is an increased risk to that category.

Q418 Mr Burstow: In terms of guilty knowledge, we have got to the point where people would be aware and therefore have to take actions. You were saying yourself that people have to take action to minimise the risk and take all practical steps. What is the practical step that can be taken by an employer to protect their staff from the risk of tobacco smoke?

  Mr Callaghan: I think our understanding now of what is practicable and effective is not what we had understood ten years ago. Let us take this issue of ventilation, which is obviously one step that employers might take. My understanding of the evidence is that although ventilation can remove the smell, it cannot tackle the issue of removing the carcinogens. When we were looking at this matter ten years ago one would have seen ventilation as a practicable step. I think now we would not see this as an effective step.

Q419 Mr Burstow: So is a ban the only practical step?

  Mr Callaghan: This measure is being introduced to protect not just workers but also members of the public and so there are wider public health issues. I think one of the reasons why we entered the lists is we did not want to see, with such a partial ban, that one group of workers was treated differently from another.

  Ms Arnott: Can I add to the point of guilty knowledge because ASH has a QC's opinion on this issue, which I am happy to supply to you, saying that the date of guilty knowledge is definitely passed. We sent this opinion to all the major hospitality trade employers and we explained to them what this meant in terms of their legal responsibilities and that is, because ventilation and other solutions are not sufficient, their only course of action was to prevent smoking in the workplace. They are on notice of that now.


 
previous page contents next page

House of Commons home page Parliament home page House of Lords home page search page enquiries index

© Parliamentary copyright 2005
Prepared 19 December 2005