Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 474-479)

VICE ADMIRAL RORY MCLEAN OBE AND MR CHRIS WILLIAMS

24 NOVEMBER 2005

  

Q474 Chairman: Good morning. I am sorry we have been a few minutes delayed with our last witnesses. Could I ask you for the sake of the record to introduce yourselves?

Vice-Admiral McLean: I am Admiral Rory McLean. I am here for three reasons. One is I am the single point of contact between the MoD and the Department of Health, I co-chair the Partnership Board with the Department of Health, secondly, I run the Defence Medical Services, which provides healthcare in all its guises across the whole of the Armed Forces in the UK on deployed operations and in garrisons abroad and, finally, I am charged by the Secretary of State with coordinating the implementation of the Choosing Health White Paper as it applies to the Ministry of Defence. Can I introduce Chris Williams, who is my Finance and Secretariat Branch Leader and he deals with the precise detail of the MoD policy. I had a couple of other points I wanted to make, if I may.

Q475 Chairman: By all means. If you would like to do that to start and then we will go to the questions.

  Vice-Admiral McLean: Very briefly, I think what we are seeking to do at the moment, however the legislation comes out we will implement the spirit of that within the military circumstances we find ourselves in. We responded to the Department of Health in the consultation phase, where there were one or two areas where we wanted to have some exceptions. Secondly, we have a golden rule that we have been developing, and we have been doing this for some time, and the golden rule is that we will protect the rights of non-smokers not to have to inhale the smoke of others. We have a peculiar circumstance where we have to protect the individual's private right to smoke in what you would call "the home". The last thing is that we are seeking to establish an MoD policy that would apply worldwide, because we believe that that will be easier to communicate and easier for our soldiers, sailors and airmen to understand and also to enforce.

Q476 Mike Penning: At this stage I need to declare an interest in that I am a former member of Her Majesty's Grenadier Guards, the junior service to yourself. I am on the Armed Forces Parliamentary Scheme, which gives me the honorary rank of a major, I believe, which is not bad for someone who only just about made corporal! From my own experience, I know that the prevalence of smoking within the Armed Forces is very high, especially amongst the junior ranks. Can you give us an estimate as to what that is at the present time in the three main forces?

  Vice-Admiral McLean: Yes, the information that I think I produced in the parliamentary questioning broadly speaking from memory was about 23% of the Navy smoke, about 19% of the RAF smoke and 33% of the Army smoke. Looked at the other way round, 80% of the Navy and the Air Force do not smoke and 70% of Army do not smoke.

Q477 Mike Penning: But we still, in certain ports of the world, promote reduced price tobacco to our Armed Forces. With the legislation that is proposed, is that going to carry on or are we still going to promote duty-free cigarettes for our Armed Forces?

  Vice-Admiral McLean: As part of the work strands I have just been outlining for Choosing Health, we have a whole series of actions to review, not just the smoking but all the other aspects of the Choosing Health policy, of which the duty-free basis for cigarettes and alcohol will be reviewed.

Q478 Mike Penning: Having served when tobacco was rather cheap in the Armed Forces and being discharged and coming back to the UK, I gave up smoking, not because of my health but because I could not afford it at the time. This is not going to go down well with your service men and women who have for generations had massive discounts. I wonder if you can highlight the size of the discounts, if you know.

  Vice-Admiral McLean: I would like to answer the question a slightly different way round. I would agree that we are going to be reviewing our policy on duty-free, but we are engaged at the moment in what I would consider to be quite an impressive anti-smoking campaign plan which has at its heart the Executive, who are the people who have to implement it, and so through the encouragement and education we are trying to stop people smoking. For example, every time people go to the medical centre or to the dental they are automatically offered the various different facilities for anti-smoking that we can offer—clinics, patches, all those sorts of things—and so what we are trying to do is to inculcate into the Armed Forces a culture which tries to reduce the instances of smoking.

Q479 Mike Penning: With all due respect, that is not an answer to the question. The question was: are you going to stop the discounts to our Armed Forces of duty-free, and, secondly, have you made any indication with your ranks as to how popular this is going to be? We are trying to reduce smoking throughout the country, and lots of money is being spent from the Department of Heath, but if you continue to give them duty-free, you have having your cake and eating it?

  Vice-Admiral McLean: I understand the question completely. My answer is, as I said before, as part of the work strands coming out of Choosing Health, we will be reviewing our policy on duty-free.


 
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