Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 480-497)

VICE ADMIRAL RORY MCLEAN OBE AND MR CHRIS WILLIAMS

24 NOVEMBER 2005

Q480 Chairman: You are aware of the fact that both under the last government (under Kenneth Clarke) tax increases were put on cigarettes, effectively on public health grounds, and also under this government they have directly been put on cigarettes and cigarette products on the basis that it reduces consumption?

  Vice-Admiral McLean: Yes.

  Mr Williams: Of course one can also make the point that there is a duty-free price and there is a price that is available outside in the retail area. If you are in Gibraltar I think you will find there is very little difference between the price that you might get inside the mess and the price outside on the high street.

Q481 Chairman: But Germany is quite different?

  Mr Williams: Clearly location by location there will be differences, and that is why we will be reviewing the policy across the board.

Q482 Mike Penning: The point you made before and it just does not equate, because if there is no duty on cigarettes people can afford them, but in most countries where our servicemen and women serve there has been in the past a black market between what you can buy as a serviceman and that is what is available to the general public in that country. Can I move on? You discussed accommodation. For the vast majority of single servicemen and women the barrack room or their barracks is their home. How are you going to adapt a policy of banning smoking if it is their home, and, secondly, in particular to the Navy on a ship where that is their home as well even though it is their workplace?

  Vice-Admiral McLean: I will deal with the second point first because it is probably easier. We already have a ban inside surface ships, and so they are only allowed to smoke on what we call the weather deck, i.e. the open air. This is not quite as possible within submarines, for obvious reasons, but what we have done is segregate smoking away from the workplace and the living spaces so they are only allowed to smoke at either end of the submarine. We expect to be able to make submarines completely smoke-free over a period of years, but we will have to wean our submariners off smoking in order to achieve it. In terms of single living accommodation, to the maximum extent possible—and this is true in larger barracks—what we will hope to do is to have areas, smoking blocks, one complete block, where smokers will be able to go, and other blocks which are the completely smoke-free. In areas where that is not possible we will segregate accommodation for use by smokers from the non-smoking area and we will put in procedures to be able to extract smoke, and so on and so forth. That is the only way that we can get round that particular situation of it being a serviceman or woman's home?

  Mr Williams: The key principle we are looking at is that those who are unwilling to be exposed to the smoke of others will not be. That is the spirit of the legislation, we believe, and that is what we are moving towards. Equally, because we provide people with their homes, they live on our premises and in many cases are directed to do so, if they wish to remain a smoker within their own private space, if you like, we will, where it is possible, create such an opportunity, either by physical building construction or modification or by segregation of smoking buildings from non-smoking buildings, but the golden principle is that somebody who is unwilling to be exposed to the smoke of others will not be when we have implemented our policy.

Q483 Mike Penning: I cannot see how this is going to be done. In basic training in most of the Armed Forces you are in a multiple occupancy room, and you are only offered single occupancy later on if you are lucky. Are you telling me we are going to positively discriminate to say that if you join the Armed Forces you should not be a smoker? They pay for this accommodation—they pay rent these days—unlike when I joined the Armed Forces they only paid a contribution. This is their home. Unless you have a massive financial input into accommodation within the Armed Forces, you are not going to be able to do this?

  Vice-Admiral McLean: The answer to the question is that we are not going to have people in multi-accommodation subjecting themselves to the smoke of others, and so we are going to segregate them, and if we cannot segregate them we will say there will be no smoking and we will provide smoking areas outside.

Q484 Mike Penning: The implications of this I will follow with some interest?

  Mr Williams: Each unit, each command, will make a decision on the amount of provision it is prepared to make for smoking accommodation and the amount of provision it is prepared to make for non-smoking accommodation, and the golden rule is that non-smokers will not be exposed unwillingly to the smoke of others.

Q485 Jim Dowd: Submariners—I think the expression you used was that you are going to "wean" them off it. Does that mean that anybody who smokes cannot now be recruited as a submariner?

  Vice Admiral McLean: No, it does not mean that. What it means is that over a period of years we will progressively educate the submariner community down to the non-smoking rule, because they cannot smoke in submarines at the moment in certain operational circumstances, and we will make it clear in our deputed policy that there will be no smoking in submarines in the future; but that does not mean to say that an individual submariner cannot smoke, and it also does not mean that if the submarine were to surface in benign conditions that the smoker could not go on the upper deck and have a smoke.

Q486 Mike Penning: The MoD has said that it will try and implement as best as possible the legislation but with limited exemptions. Can you highlight the exemptions that the MoD is proposing?

  Vice Admiral McLean: We have covered two of them: one is submarines, the second is Royal Fleet Auxiliaries, which, for those who do not understand, are tankers which carry ammunition, and so it is impractical at the moment—a bit like an oil or a gas rig—for people to smoke on the upper deck. Again, the same point though, we are planning over the next few years to gradually reduce the smoking population on board such that they cannot smoke inside the ship, and we will make special arrangements, when the operational circumstances allow, for smokers to be able to smoke on the upper deck within the confines of safety. We have talked about single living accommodation and in messes. In messes there will be, for obvious reasons, our golden rule, you will not be allowed to smoke within the bar area or anything like that. A commanding officer, if he chooses, will be able to designate an area for smoking for those who want to do it for which we will not allow bar staff or cleaners to go in until it has been expunged of the smoke.

Q487 Mike Penning: You were talking there about messes, but for the junior ranks who use the NAAFI—it is one of the most prevalent places they go to—how is that going to be permitted? Is it a club, exemptions, or . . . .

  Admiral McLean: No, there will be no smoking in NAAFI bars. It will be again, designated in areas that are away from those who do not wish to smoke.

  Vice-Admiral McLean: We recognise this is a challenge, because this is a change in the way that messes and clubs operate at the moment, but what we are advocating is thinking of it not so much as a club but as this is a place where people effectively live—it is their front room where they can watch the television or read the newspaper—so we recognise the challenge, but if the membership wishes to retain a smoking facility within that living space, we would then have to identify whether it is possible to create a separate smoking area so that those who wish to use the club and not be exposed to smoke will be able to do so and, equally, those who wish to smoke in what is effectively their own living room will still be able to do so with the single provision for separation having been made.

Q488 Mike Penning: This is all going to cost money at the end of the day. There is a financial implication for what you have just described. In the budgets—I used to be a defence adviser myself—where is this money going to come from? Which financial stream is that coming in from?

  Vice-Admiral McLean: The way in which the MoD planning process works, it has now moved from an annual to a bi-annual cycle, but what we do is we take all the costs pressures on the department into account when we set and allocate our resources. Some pressures go up and some areas go down. Every two years we rebalance the defence programme between, for example, personnel, logistics, and so on and so forth. In the context of a government policy that has now been enacted through Parliament, we will be obligated to fund whatever is required.

  Mr Williams: I think it is also worth making the point that it is already the case in some messes that they have decided to go entirely non-smoking. It is also the case that, of course, there will be financial implications if one wishes to create a separate smoking facility which does not already exist, and that will be judged in the normal process of deciding what are your priorities, where do you want to spend your money? One cannot exclude the possibility that in some cases there will not be the money to set up a segregated smokers area, in which case, our governing advice, it is the right of the non-smoker not to be exposed to other's smoke that wins.

Q489 Mike Penning: So if the budget is tight the rights of the smoker in tone will be ignored?

  Mr Williams: Not ignored, will be put into the balance, and, like all these things, you have to decide: how much do I want it?

Q490 Mike Penning: If the money is not there he or she will be not be allowed to smoke, is what you are saying?

  Vice-Admiral McLean: It is highly unlikely that we will end up trying to do a policy change on this basis, which is going to be challenging, as Chris has already said. It is highly unlikely that for the sums of money that we are talking about to provide for the rights of the smokers as well as preserve the rights of the non-smoker that we will not find this money in defence across the board; but the specific answer to your question: we have not costed it yet and we have various different systems in place to be able to accommodate not just this policy shift but other policy changes.

  Mike Penning: Thank you for being so honest.

Q491 Mr Burstow: Two quick questions. Have you made any assessment of the impact on the health and therefore probably the operational effectiveness of the Armed Services arising from second-hand smoke? Is there any assessment that you have made in terms of the health effects it has?

  Vice-Admiral McLean: The answer to that is that there have been some informal and incomplete studies that have been done over a few years, but we have not got any concrete, what I would call, scientific results at this stage. That is why in the case, for example, of submarines that we are intending to go to a complete ban in submarines over a period of years.

Q492 Mr Burstow: Are those incomplete studies possibly documents that could be passed to the Committee?

  Vice-Admiral McLean: The answer is I do not know the status of those documents at the moment. My understanding is that they are informal because the research was incomplete.

  Mr Williams: Nothing we have done points to a different conclusion other than that we should be trying to persuade our people to give up smoking or not to start smoking in the first place.

Q493 Mr Burstow: There is a benefit to be had from the point of view of your workforce?

  Mr Williams: We do not challenge that at all, no.

Q494 Mr Burstow: The other thing I just wanted to pick up very quickly was the way in which you were intending to roll out your policy in this respect, the desirability of a consistent approach across all countries within Britain, consisting of England, Scotland, Wales and Northern Ireland, and the idea that you are going to implement this. Given that, which of the countries are you taking the lead from in terms of framing your policy? Is it England, is it Scotland, is it Wales, is it Northern Ireland?

  Mr Williams: What we are trying to achieve is one policy that is a good policy and effective wherever we serve, both in the UK and overseas. It does mean noting that there are various administrations with their own legislative mechanisms and we are in discussions with officials in all of the legislative bodies. It also means that because we know Scotland is going to implement their regulations first, that we will be taking the implementation date for us as effectively the Scottish date.

  Vice-Admiral McLean: 26 March 2006.

  Mr Williams: So that is when we will bring the spirit of the regulations instructions into force.

Q495 Dr Stoate: I was on the Ark Royal a couple of years ago in the Navy and I had such a good time that I am signed up for next year, so I am going to be a post-graduate.

  Vice-Admiral McLean: Welcome aboard.

Q496 Dr Stoate: I took particular notice of the fact that sailors were not allowed to smoke inside the ship and they went outside on the deck when they wanted a fag, and nobody complained to me at all that that was in any way an issue to them. Have you actually had much evidence of complaints or resistance to this type of policy or do you think it has just been accepted?

  Vice-Admiral McLean: In the case of the surface Navy, and I have been part of that for many years, we have been engaged in this aggressive anti-smoking policy for quite some time. The difference with submarines is that they do not have the opportunity to go up on deck. A submarine is a highly complex piece of kit and therefore we have many different types of skilled trades, and what we are trying to preserve at the moment is we do not want non-smokers to go and we do not want smokers to go until we have got to the point when we can go completely non-smoking. I have not had brought to my attention any formal representations, although within the submarine community they are a very close band of brothers, they rely on each other heavily, and therefore they are quite tolerant of each other in that environment. Whether there are any formal representations in the system I would need notice of that but, more importantly, we do continuous attitude surveys all the time and it has never been brought up other than in the spirit of co-operation where some messes have decided that they will not smoke anyway.

Q497 Dr Stoate: The other thing I noticed was that sailors were extremely unlikely to drink once they had left port. I was quite fascinated by that. The sailors might drink heavily when they are on shore but once the ship sails they almost do not drink at all, even the ratings do not. Do you feel as though you would have any difficulty implementing these things or do you think the Services support broadly what the Government is trying to do and what the Armed Forces are trying to do and accept the policy without much resistance?

  Vice-Admiral McLean: The answer to that question is that the head of each of the Services is fully behind the spirit of the legislation. It will be perceived in a different way between the Navy which has probably been doing it for longer and the Air Force who have had very strict rules for obvious reasons. I think the most difficult area, or the most challenging area I should say will be to implement it within the Army.

  Mr Williams: The Admiral gave a snapshot of the figures as they currently are, and sometimes we can detect a trend in the way that we are measuring, and the trend is actually downwards in all three Services. It is a general decline and obviously we would hope that not just the military health education but also the general civilian population health education will be pushing in the same direction on that.

  Dr Stoate: Thank you very much.

  Chairman: Could I thank you both very much indeed for coming along and assisting us with this inquiry and also for the written memorandum, which was very informative, Vice-Admiral. Thank very much indeed.





 
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