Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 600-607)

CAROLINE FLINT MP, FIONA MACTAGGART MP AND MR NICK ADKIN

24 NOVEMBER 2005

Q600 Dr Naysmith: In a sense we are having a debate next Tuesday about something that is still a bit vague and people are going to have to vote on things which are a bit vague. Why is it being done this way?

  Caroline Flint: I do not think it is that vague, is it?

Q601 Dr Naysmith: Some people think it is.

  Caroline Flint: We are working through a whole host of issues here as you can imagine. These are tricky areas. We have talked primarily about our exemptions on particular licensed premises today but I know you have had someone in from the MoD to talk to you, obviously. My colleague, Fiona, was here talking about prisons. I am taking soundings at the moment on issues around mental health institutions and so forth. I have to say every single country, including Ireland and Scotland, is having to address exemptions and issues in those areas. In Ireland, for example, they have a complete exemption for adult hospices and those countries are working through these issues as well. I am afraid to say that even in those countries which have gone for a total ban—Ireland and Scotland planning to and now Northern Ireland—the issue of exemptions in all those areas is something they are going to have to deal with and face and discuss. In relation to the particular issue around bars, the issue we have to resolve primarily is the issue around the non-food/food split, although Giles Thorley, the Chief Executive of Punch Taverns, has said: "Although we acknowledge the processed non-food/food split will present some landlords with difficult decisions, nevertheless we feel the distinction is relatively straightforward and workable as well as preserving some degree of choice". We also know, as I said earlier, that we are consulting on the issue around the area around the bar and I am sure in the Second Reading debate and in Committee there will be plenty of opportunity for parliamentary colleagues to raise these issues and press me and raise a number of different concerns, as we normally do, in Committee processes.

Q602 Dr Naysmith: You were saying earlier on when you were talking about the licensed trade and the hospitality industry there were lots of different opinions. But the one thing which came through, though not unanimously to us, was they do not want some kind of half-way house. They would prefer no ban altogether, I suspect, but given that there is going to be some kind of control they want it nice and clear and they want to be able to know the difference between membership clubs and pubs. That is an opinion which was very clear from them despite what you have said.

  Caroline Flint: Yes. That has been a view that has been expressed but there is also a view not to do anything at all by a number of sections of the industry who would just like a voluntary ban. You will know from the British hospitality industry that they are in favour of a total ban, a different view from the Beer & Pubs Association. Again, as I said earlier, there is certainly a unity position on the issue of the private members' clubs. None of this is necessarily in and of itself straightforward. We have to make a decision and I am afraid, sometimes, we can please some of the people some of the time but not all of the people all of the time.

Q603 Dr Naysmith: I am just raising it in terms of the need for clarity.

  Caroline Flint: Our endeavour here is to make it as clear as it possibly can be. I think we can work through this. I do not think, based on what other countries have done, who have had differences in approach, particularly to the licensed sector, that that is insurmountable.

Q604 Chairman: Minister, I said last week when we were taking evidence from the hospitality sector about 30 years ago when I started drinking—I was actually ten years out, it was 40 years ago when I started drinking—by and large pubs were where men went to drink and I started my apprenticeship in this area in some pubs in your own constituency which you represent now. The one thing I said to them was the culture of public houses has changed dramatically, not in every public house but in communities like ours that we represent, and the change by and large has been on the issue of food. You see more families in there. The great danger that I see is if there was a situation where they had to get out of food so they could keep smoking, then it may change that culture. I know the Government have said that they want to review this position that they are going to put to the House at some stage in three years' time, but is there not a great danger that the change of culture, if it did reverse in three years' time, would be too late to try and save it, in the sense that people will have disinvested out of pubs with meals and family rooms in because they want to stay in business?

  Caroline Flint: I think it is really interesting, is it not, that there has been such a shift. I am the granddaughter of a publican so I have spent quite a bit of my time in pubs over the years in one way or another. What I have seen is quite a big shift in terms of food being more and more part of the atmosphere of a pub and also family-orientated to get more women to come into pubs too. Personally I cannot see that in and of itself would change dramatically because there is a customer group there that if you are not providing the food in that sort of atmosphere is not going to come any more. Some pubs are going to make some choices here about what is important: a growing market or going back to a limited market that they had in the past. I think consumer choice here is an important driver for businesses and that is why public opinion amongst smokers and non-smokers was very strongly in terms of restrictions where food was present. We are not just talking about customers who do not smoke here, we are talking about smokers who, when they go out and want to have a drink and something to eat want to do that in a smoke-free environment. I do not think it is clear that there would be that huge shift in terms of the public. The other aspect of all of this, of course, is that as a result of our proposals there will be more smoke-free licensed premises and there could, therefore, be a growing market for people who currently do not like to go out, who are buying their drink from the supermarket and decide to stay at home but who may feel "I feel there is more choice for me to go out and have a drink now in a convivial atmosphere" in a way that they do not at the moment because they have not got the smoke-free choice in Doncaster or elsewhere.

Q605 Chairman: I agree entirely with that but that would be greatly enhanced if there was a comprehensive ban and not one that we think the Government are going to give. In this three-year review that the Secretary of State has talked about, are you planning to put in any evaluation strategy so you can monitor what the implementation of this part-ban is as opposed to any movement that we have in public health because of it?

  Caroline Flint: Yes, I think we need to do that. In the same way as we have been able to be informed by changes already which have happened in terms of the evaluation that we do, for example, of smoking cessation courses and all of that, I think we will be looking to not only monitor but look at how we can evaluate how successful the policy has been. I think we have to work through just how we do that though.

Q606 Chairman: You do not have anything on paper in terms of evaluation strategy at this stage?

  Caroline Flint: Not at this stage, no, it is something we will be looking at to see how we will address it. Obviously the industry will be able to provide some of its own evaluation because they will look at market trends and issues of pubs and what have you. It is interesting because what we have to try and find is where issues can be linked to the policy and where issues are about a different trend in terms of what is happening in drinking. Clearly we have some issues at the moment in terms of the licensing legislation which in and of itself could potentially lead to some licensed premises being shut down. We have to think about how we can measure this in a real way, bearing in mind all those other factors that are happening at the moment in terms of alcohol licensed establishments.

Q607 Mr Amess: I think this may be the last question. The point made to us very, very firmly in Dublin was that the key to the success of this policy and these changes was very much strong and determined political leadership. Some of us feel that it was not really the best start when it became public knowledge that the previous Secretary of State for Health had a very different view to the present Secretary of State for Health because it was not like two Cabinet Ministers disagreeing, it was on a particular area for which they both had responsibility. Do you think the Government is giving strong and determined leadership on this matter?

  Caroline Flint: I think we are in the sense that, first of all, the Choosing Health White Paper, which is where this discussion stemmed from originally, is the first time in a comprehensive way, not just in terms of smoking but other public health concerns and priorities, has had the public airing that it really deserves. I have to say, in terms of the outcomes of Choosing Health, there is a huge range of activities underway to make sure we deliver. Of course, I think by placing in our manifesto our clear intention, which was discussed through our own policy forums, that again showed leadership. As far as I understand, your own party is in favour of just supporting voluntary measures in this area. In terms of a political choice, I think people had a very clear political choice between voluntary measures or something which was going, in effect, to bring legislation in to create the proposals that we have got. I think that is strong leadership. What I would say is clearly there were some differences about how far we might go and, in many respects, which reflected some of the debates I have heard on radio and people have had outside of Parliament. The important issue here is that there has been collective discussion and decision, and we will bring in radical proposals in England that will, in a very real way, change the debate on smoking from one of just voluntary measures to one which has the force of the law.

  Chairman: Minister, and Mr Adkin, thank you very much indeed for coming. I am sorry that the session has gone on but you can imagine when we have multi-witnesses like this we do tend to get slippage in the timetable. Thank you very much indeed for coming along and assisting us with our inquiry.





 
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