Documents considered by the Committee on 12 June 2013 - European Scrutiny Committee Contents


5 The manufacture, presentation and sale of tobacco and related products ~

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18068/12

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COM(12) 788

Draft Directive of the European Parliament and of the Council on the approximation of the laws, regulations and administrative provisions of the Member States concerning the manufacture, presentation and sale of tobacco and related products

Legal baseArticle 114 TFEU; co-decision; QMV
DepartmentHealth
Basis of considerationMinister's letters of 3 and 11 June 2013
Previous Committee ReportHC 86-xxx (2012-13), chapter 3 (30 January 2013)
Discussion in CouncilNo date set
Committee's assessmentLegally and politically important
Committee's decisionNot cleared; further information requested

Background and previous scrutiny

5.1 It has long been recognised that the global nature of trade in tobacco products has significant cross-border effects which extend beyond the economic sphere. As awareness of the health implications of smoking has grown, so too has the desire to regulate trade in a way that ensures consumers are informed of the health risks and those most susceptible to innovative marketing techniques (notably children) are better protected. Within the EU, the differing regulatory approaches taken by Member States were perceived as an impediment to the functioning of the internal market and, in 1989, the first EU legislation regulating the labelling of tobacco products was introduced. It has since been strengthened to include detailed rules on the size and content of health warnings and to prohibit marketing practices intended to make tobacco products more appealing or to suggest that they are less harmful than other similar products.

5.2 The current regulatory framework (the 2001 Tobacco Products Directive) has been in force for more than a decade and has been supplemented by a World Health Organisation Framework Convention on Tobacco Control which entered into force in 2005. The Commission considers that scientific, market and international developments necessitate substantial changes to the existing EU framework and so has proposed a new and more comprehensive Directive. As with previous EU Directives, it is an internal market measure based on Article 114 of the Treaty on the Functioning of the European Union (TFEU) and (as required by that Article) takes as its base a high level of public health protection. It focuses, in particular, on measures to discourage tobacco consumption by young people, in light of Commission estimates that 70% of smokers start before the age of 18.

5.3 Some elements of the 2001 Directive, such as the maximum tar, nicotine and carbon monoxide content of cigarettes, remain unchanged but many of the existing provisions are strengthened. For example, health warnings on cigarette packets and packaging for roll-your-own tobacco are to be made larger (covering 75% of both the outer front and back surfaces) and to include a text warning and a colour photograph, and there are further restrictions on any additional product information or labelling.

5.4 New elements in the draft Directive include: a prohibition on the use of "characterising flavours" (such as chocolate or menthol) which may increase the appeal for children; a prohibition on the use of a variety of additives which suggest health or energy-giving properties; a new notification procedure for "novel tobacco products" before they are introduced to the market for the first time; and new restrictions and labelling requirements for non-tobacco products which may have addictive qualities or health implications, such as nicotine-containing products and herbal cigarettes. The draft Directive also introduces a new tracking and tracing system for tobacco products covering the whole supply chain (but excluding the retail stage). Our Thirtieth Report of Session 2012-13, agreed on 30 January 2013, provides a detailed overview of the draft Directive.

5.5 The Parliamentary Under-Secretary of State for Public Health (Anna Soubry) told us that the Government broadly welcomed the draft Directive and supported its focus on reducing the appeal of tobacco products for children and young people. She indicated, however, that many of the changes proposed by the Commission would require further detailed examination and highlighted, in particular, research being undertaken by the UK's Medicines and Healthcare products Regulatory Agency (MHRA) on the levels of nicotine that have physiological effects, as well as the Government's consultation on the possible introduction of standardised packaging for tobacco products. She also undertook to provide a more comprehensive assessment of the expected costs and benefits of the draft Directive for the UK.

5.6 Whilst recognising the need for Government to carry out a thorough analysis of the evidence base for EU action, we also noted that the intention of the Irish Presidency to secure a political agreement within the Council by the end of June would affect the time available for scrutiny. We asked the Minister whether she accepted that Article 114 was an appropriate legal base, given the public health objectives of the draft Directive, and whether any specific provisions raised subsidiarity concerns. We also asked her to clarify the Government's position on those elements of the draft Directive which would introduce new or more stringent requirements than those contained in the 2001 Tobacco Products Directive.

The Minister's letter of 3 June 2013

5.7 The Minister (Anna Soubry) apologises for the delay in providing the information requested by the Committee, adding that it has taken some time to secure cross-Government clearance of the UK's negotiating position. She confirms that the Irish Presidency still intends to seek a general approach on the draft Directive by the end of June and that the European Parliament is considering its position in parallel.

Legal base and subsidiarity

5.8 Turning first to the legal base, the Minister notes that internal market measures based on Article 114 TFEU are an area of shared competence and that the Court of Justice has made clear that, in selecting this legal base, health protection may be a decisive factor. She continues:

    "I consider that the proposal is within scope of the stated legal base, bearing in mind the nature of the internal market in tobacco and related products, the diversity of legislative regimes across the Member States and existing harmonised rules in this area."

5.9 The Minister also considers that the draft Directive respects the principle of subsidiarity, but adds:

    "I aim to negotiate a final text which would allow Member States adequate freedom to maintain or take forward certain domestic public health policies, aiming for a higher level of health protection, where the evidence supports this and it is justified in accordance with the TFEU.

    "For example, the proposal for a revised EU Directive sets out provisions on packaging of tobacco but does not require fully standardised packaging. However, the UK has run a consultation in relation to the introduction of standardised packaging for tobacco products in the UK. A decision is yet to be reached on this and as such, the Government seeks to preserve the option of taking domestic action to strengthen tobacco control in the future. In another example, while pictorial health warnings are currently required on the packaging of all smoked tobacco products available on the UK market, the proposed Directive envisages an exemption for certain types of tobacco (such as cigars). I will, therefore, seek amendments to the proposed Directive to enable the UK to maintain the requirements for pictorial health warnings on all smoked tobacco products."

Analysis of new or more stringent regulatory requirements

5.10 The Minister identifies the areas in which the Commission is seeking to introduce new or more stringent regulatory requirements. These are: ingredients and emissions; labelling and packaging of tobacco products; traceability and security features; cross-border distance sales; novel tobacco products; (non-tobacco) nicotine-containing products; and herbal products for smoking. She highlights the UK's role as "a European and global leader in tobacco control" as well as developments at international level which necessitate more effective action to control the prevalence and use of tobacco:

    "Successive Governments have demonstrated a commitment to improving public health through introducing effective tobacco control policies. A wide range of measures have contributed to our long-term success, including legislation from the EU (such as the previous Tobacco Products Directive, dating from 2001, henceforward to be referred to as 'the 2001 Directive'). Over the past decade, complementary domestic and EU legislation has contributed to declines in smoking prevalence by both adults and young people in the UK.

    "Tobacco use is one of our greatest public health challenges and a major cause of health inequalities. Smoking-related diseases kill one in two long-term smokers and treating smoking-related diseases costs the NHS £2.7bn per annum in England alone. Although smoking rates have fallen considerably since the 1960s, over 8 million people in England still smoke, and the decline in smoking rates in England has lost momentum in recent years. It is clear that we need to do more to tackle tobacco use if we are to achieve our public health ambitions.

    "The UK is a Party to the World Health Organization's Framework Convention on Tobacco Control (FCTC). The FCTC is the world's first public health treaty and places obligations on Parties to meet the treaty objective to 'reduce continually and substantially the prevalence of tobacco use and exposure to tobacco smoke' and to implement comprehensive tobacco control strategies. Since the UK became a Party to the treaty in 2004, we have taken our FCTC treaty obligations very seriously. All Member States are Parties to the FCTC and the proposal will assist Member States to meet a number of the treaty obligations set out in the FCTC."

Ingredients and emissions

5.11 The Minister supports the Commission's proposal to prohibit the use of characterising flavours, such as menthol or chocolate, vitamins and colourings, stimulants (such as caffeine or taurine), and other additives which appreciably increase toxicity or addictiveness, adding that it is in line with FCTC implementation guidelines. She also supports the move towards electronic reporting of ingredients and emissions used in tobacco products, as well as wider dissemination of market research and other studies indicating consumer preferences for particular ingredients and data on the volume of sales, adding:

    "By collecting this information, Member States and the Commission will have a more comprehensive understanding of the tobacco market, which can inform public health policy making."

5.12 However, she also underlines the need to ensure that more extensive reporting requirements do not place disproportionate burdens on Member States.

5.13 The Minister suggests that the current requirement to display tar, nicotine and carbon monoxide yields on cigarette packets is misleading, adding:

    "[...] some smokers use the yield information to compare the harmfulness of different brands of cigarettes. However, we know that smoking of any brand of cigarette is harmful to health because most of the health problems are caused by toxins and carcinogens within tobacco smoke."

5.14 She therefore supports the Commission's proposal to replace yield data with "a more informative and qualitative information message that tobacco smoke contains more than 70 substances causing cancer" and says that the Government's Tobacco Control Plan for England, published in 2011, includes a recommendation on the removal of yield data on tar, nicotine and carbon monoxide.

Health warnings, labelling and packaging

5.15 The Minister endorses the mandatory use of combined picture and text health warnings on tobacco for sale across the EU, adding:

    "Under the 2001 Directive, Member States have the option to require combined health warnings on the back of packs of smoked tobacco. We have already legislated to require combined health warnings for all smoked tobacco on the UK market."

5.16 She continues:

    "According to the Bulletin of the World Health Organization, health warnings on tobacco products constitute the most cost-effective tool for educating smokers and non-smokers alike about the health risks of tobacco use. Research has demonstrated the superiority of using pictures and imagery over text-only messages in health communication. In the UK, health warnings on tobacco products are an essential element of our comprehensive tobacco control strategy. They are a requirement of the FCTC."

5.17 The Minister notes that a Court of Justice ruling in 2002 confirmed that the requirement for health warnings set out in the 2001 Directive was consistent with the principle of proportionality and with tobacco manufacturers' intellectual property rights, but says that the Commission's latest proposal would only require larger combined warnings for cigarettes and roll-your-own tobacco packs. The less stringent health warning and labelling requirements set out in the 2001 Directive would continue to apply to other tobacco products. She adds:

    "The UK legislation that has been in place since 2008 requires combined warnings on the packaging of all smoked tobacco (including cigars), not just cigarettes and roll-your-own tobacco. I believe it would be an unnecessary and regressive step to exempt these other smoked tobacco products from combined warnings in the UK. The Government will seek a final text which allows Member States the option to require picture warnings for all smoked tobacco, so we can maintain our current requirements."

5.18 The Minister agrees that health warnings should be larger and more prominent, adding:

    "According to a recent review of the evidence of tobacco health warnings, the salience of health warnings depends upon the size and position of the warning message. Youth and adults are more likely to recall larger warnings, rate larger warnings as having greater impact and often equate the size of the warning with the magnitude of the risk. The risks to health from smoking (for the smoker and others because of second-hand smoke) are significant. The Government's negotiating position on proposals for health warnings will seek to optimise the effectiveness of warnings to impart information about the risks of smoking, in light of the evidence.

    "Under the 2001 Directive, Member States are able to increase the size of health warnings as long as minimum requirements are met. The proposed Directive would in practice make it difficult for Member States to do this in the future. I will seek a final text which retains this Member State discretion, respecting the principle of subsidiarity."

5.19 The Minister raises no specific objections to the provisions on packaging and pack size, but says:

    "The UK Government's negotiating position on some of the packaging and product description provisions will be balanced by our domestic policy consideration of tobacco packaging."

Tracking and tracing

5.20 The Minister suggests that the Commission's proposals on the tracking and tracing of tobacco products are similar to, but go further than, the provisions of a recently adopted Protocol to the FCTC concerning illicit trade which the UK is working towards signing. She continues:

    "The Government believes that it would be more appropriate and practical for tracking and tracing to be addressed both through existing EU customs and excise directives and through domestic action by Member States than through a revised Tobacco Products Directive. If tracking and tracing remains in this Directive we will explore with the Commission the advantages to an EU wide system, taking into consideration the risks and costs, to ensure that we introduce arrangements that are effective and proportionate to the compliance burdens and economic impacts on business."

Cross-border distance sales and new notification procedures for novel tobacco products

5.21 The Minister supports the inclusion of provisions on cross-border distance selling, in order to reduce the incidence of illicit tobacco sales and tobacco sales to children, as well as the introduction of a new notification procedure for novel tobacco products before they are placed on the market, but reiterates the Government's determination to secure an effective text which minimises the burdens for Member States and, in the case of distance sales, retailers.

Herbal products for smoking

5.22 Herbal products for smoking similarly fall outside the scope of the 2001 Directive and are regulated in different ways by Member States. The Government supports the Commission's proposal to introduce a simple health warning on packaging and to prohibit any misleading promotional elements or features. The Minister adds:

    "Evidence shows that any product that is burnt and inhaled is dangerous to health. The harm from smoking is primarily caused by the inhalation of toxic chemicals caused through the process of combustion of organic material. While herbal cigarettes are not necessarily addictive in the same way as tobacco cigarettes, their use is still harmful. Herbal cigarettes also produce second-hand smoke, and for this reason, herbal cigarettes are covered by smoke-free legislation across the UK. Therefore, the UK Government supports the introduction of health warnings on all herbal products for smoking available in the EU."

The Minister's letter of 11 June 2013

Non-tobacco nicotine-containing products

5.23 In her second letter, the Minister sets out the Government's position on the regulation of non-tobacco nicotine-containing products ("NCPs"), such as e-cigarettes, which currently fall outside the scope of the 2001 Directive and which are regulated variously by Member States as medicines or tobacco products, prohibited, or subject to no regulation. She explains that the outcome of a public consultation published by the MHRA in 2011 revealed "clear support" for regulating NCPs as medicines amongst medical professional and NHS bodies, the British Heart Foundation, Cancer Research, Trading Standards, the pharmaceutical and tobacco industries, and some importers of electronic cigarettes. As, however, most importers as well as users of unlicensed nicotine producers and some public health-focussed organisations were opposed to the regulation of NCPs as medicines, fearing that it would result in an immediate ban on products currently available, lead users back into smoking tobacco, or stifle innovation, the MHRA undertook further scientific and market research on:

  • the levels of nicotine which have a significant pharmacological effect; and
  • the impact of regulation on public health.

5.24 This work has been informed by the advice of an Expert Group of the Commission on Human Medicines (CHM).

5.25 The Minister notes that the Commission has proposed a dose threshold above which all NCPs would be regulated as medicines, and those below would be treated as consumer products but carry a prominent health warning. She continues:

    "The European Commission's proposal aligns broadly with the UK's expert advice about the need for a proportionate regulatory regime for NCPs. The work undertaken by the MHRA has included seeking expert advice on how medicines regulation can be adapted to the safety profile of these particular products, in terms of what evidence is required at the time of licensing, where products can be sold or supplied (e.g. in supermarkets or retail outlets), and flexibility around their packaging and labelling. The MHRA will publish an assessment of how to achieve a proportionate approach to the regulation of NCPs within the existing medicines framework, focussing on managing the risk of poor quality and ineffective products to maximise the potential benefits to public health within a smoking harm reduction regime. This approach would be more proportionate than banning some or all NCPs, treating them as tobacco products, or developing a bespoke framework, which would be likely to take some years at a time when the market for NCPs is increasing exponentially. Publication of this advice will enable us to influence the debate on how medicines regulation can be applied."

5.26 The Minister says that the Commission has not given a clear rationale for the dose threshold for NCPs proposed in Article 18 of the draft Directive, but adds that it would capture most NCPs currently on the UK market.[24] She continues:

    "[...] the public health implications of allowing for the development of a two tier approach will need to be further explored in the negotiations. In addition to ensuring licensed products meet appropriate standards of safety, quality and that they effectively deliver nicotine, regulation as medicines would allow for long term safety in use to be monitored (this does not relate to nicotine content alone) and regulatory action to be taken if risks are identified. It would also mean that important risks, around such products becoming a gateway to smoking tobacco and being used by children, can be managed by controls on medicines access and advertising. I propose to seek to negotiate a position that brings NCPs which are medicinal by function within medicines regulatory control."

5.27 Turning to the Commission' s proposal to introduce a health warning ("This product contains nicotine and can damage your health") for NCPs below the dose threshold, the Minister adds:

    "This is not scientifically valid for the levels of nicotine in question and I propose to seek to agree a warning that better meets public health objectives."

5.28 The Minister says she will provide us with a copy of the MHRA's advice on the regulation of NCPs and an assessment of the likely impact of the draft Directive, as well as Public Health Guidelines on Tobacco Harm Reduction produced by the National Institute for Health and Care Excellence (NICE). She concludes:

    "There is a clear benefit to the UK of regulating NCPs at EU level, to provide for a single market approach and an opportunity for the market to transition to a single form of regulation across the EU. This approach will enable products currently marketed to seek a medicines licence. Once the Directive is transposed in UK law, NCPs (above the threshold) would require a marketing authorisation before they could be placed on the market.

    "In the UK, there is a buoyant, competitive market in over the counter medicines worth around £2.5 billion annually, of which £100 million is for licensed nicotine replacement therapies (e.g. gums, patches, inhalators etc). This suggests that medicines regulation need not be a barrier to competition and innovation. Nor is there evidence that the cost of regulation need affect price or competition — for example there is a highly competitive over the counter pain relief market which has driven down prices. There are already measures in place that would facilitate the market in this area — for example, the lowest rate of VAT applied to licensed nicotine replacement therapy NRT (5%)."

The Government's checklist on the costs and benefits of the draft Directive

5.29 The Minister encloses a checklist which identifies those most likely to be affected by the draft Directive — tobacco manufacturers, packaging companies, tobacco wholesalers and retailers, manufacturers and retailers of NCPs and of herbal smoking products, national enforcement bodies, HM Treasury, and consumers of tobacco and related products —and sets out the expected costs and benefits. It includes the following key figures for the UK:

  • In 2012, the seasonally adjusted household final consumption expenditure on tobacco in the UK was over £18 billion (this figure includes tobacco duties and VAT);
  • 40 billion sticks were released for home consumption in the UK in 2012 with approximately 90% of these being produced domestically;
  • In 2010-11 the legitimate, tax paid hand rolled tobacco (HRT) market was valued at £1.6 billion. However, HMRC estimate that 45% of HRT tobacco consumed in the UK was UK tax unpaid;
  • There were 10 enterprises involved in tobacco manufacturing in the UK in 2011;
  • In 2012, the two biggest cigarette manufacturers had a combined market share of over 80%; and
  • 5,700 people in the UK are employed directly by tobacco manufacturers.

5.30 Whilst recognising that costs and benefits will differ for each affected group, the Checklist indicates that the overall benefits of the draft Directive are likely to outweigh the costs:

    "This is because the monetised value of longer life expectancy and other long term health benefits are very large compared to the one off costs and the loss of duty."[25]

Conclusion

5.31 We thank the Minister for her letters and Checklist which confirm that the Government broadly supports the draft Directive and expects the overall public health benefits of stricter regulation of tobacco and related products to exceed the costs.

5.32 We accept the Minister's analysis that Article 114 TFEU is an appropriate legal base and that the draft Directive respects the principle of subsidiarity, but agree with her that the Government should seek to retain the flexibility it currently enjoys under the 2001 Tobacco Products Directive to maintain or introduce domestic measures which exceed the requirements of the draft Directive if justified on public health grounds. In particular, the Minister wishes to keep open the possibility of introducing standardised packaging for tobacco products, increasing the size of health warnings, and maintaining the existing requirement to include pictorial health warnings on all smoked tobacco products marketed in the UK (not just cigarettes and roll-your-own tobacco). We ask her whether she considers that Article 24 of the draft Directive, which sets out the circumstances in which Member States may maintain or introduce more stringent national provisions, may be unduly restrictive and fetter the scope for further domestic action to strengthen tobacco control.

5.33 We also ask the Minister whether she accepts that there is a sufficient internal market or public health justification for the provisions in Articles 12 and 13 of the draft Directive which specify the shape and minimum content of cigarette packets and roll-your-own pouches, as well as the minimum diameter of cigarettes, in light of industry concerns that this could undermine efforts to tackle illicit or counterfeit trade, unduly diminish consumer choice, and damage the creative design sector in the UK.

5.34 We think that the inclusion of non-tobacco nicotine-containing products (NCPs), such as e-cigarettes, within the scope of the draft Directive is of particular significance. Whilst the outcome of the public consultation and scientific and market research conducted by the MHRA would appear broadly to endorse the regulatory approach proposed by the Commission, we note that the MHRA intends to publish a further assessment setting out ways in which medicines regulation can be adapted to the safety profile of NCPs in order to ensure a proportionate approach. We ask the Minister to clarify how such an approach can be accommodated within the regulatory framework set out in Article 18 of the draft Directive which empowers the Commission (by means of delegated acts) to amend the dose threshold for NCPs subject to regulation as medicines and to adapt health warnings and labelling requirements for products below the threshold.

5.35 We note the Minister's view that the health warning proposed by the Commission for NCPs below the threshold for medicines regulation "is not scientifically valid for the levels of nicotine in question" and ask what she considers would be appropriate. We also look forward to receiving the Government's separate assessment of the expected impact of Article 18 of the draft Directive on NCPs. Meanwhile, the draft Directive remains under scrutiny.





24   Currently, NCPs are only subject to regulation as medicinal products in the UK if they claim or imply that they can assist in giving up smoking. NCPs which make no such claims, such as e-cigarettes, are not licensed as medicines. Back

25   See p.3 of the Checklist - Costs and Benefits: Summary. Back


 
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