Danny Chambers MP: speeches
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Speeches
- 23 Jan 2025 · Tobacco and Vapes Bill (Eleventh sitting) · Hansard source
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As part of the solution, legislation must already be in place, because human and veterinary prescription-only drugs are not allowed to be advertised to the public, but they can be advertised to medical professionals. There must be legislation that prevents rogue companies from advertising in the UK products that they are not allowed to advertise to the general public, and I imagine that it should be incorporated into the Bill to address the problem that the hon. Gentleman talks about.
- 21 Jan 2025 · Tobacco and Vapes Bill (Tenth sitting) · Hansard source
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It is about not just the attractiveness of the packaging, but where products are located in the store. They are often near the sweets, so young people can go and grab some chocolate or sweets and a vape and then head out. One big benefit of changing the regulations is that vapes, like cigarettes, now have to be not only plain packaged, but kept behind the counter, where people have to ask for them. The culture of seeing them as something recreational, almost like junk food or a treat, would also be removed.
- 20 Jan 2025 · New Hospital Programme Review · Hansard source
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In Hampshire and across the country in 2019 and 2024, Conservative MPs stood on the promise of delivering new hospitals, including one for Hampshire. However, it turned out that there was never any funding for that, and that those were just false promises to try to get votes. I have fought tirelessly to save and improve Winchester’s A&E and consultant-led maternity unit. With the announcement that construction of a proposed new hospital in Hampshire will not even start until between 2037 and 2039, we absolutely need to ensure that the current services are invested in and improved so that they remain fit for purpose. Given that the new hospital programme is delayed, it is more urgent than ever to increase capacity by fixing social care, so that those who are well enough to leave hospital can be cared for in the community, thus freeing up beds immediately. We cannot endure both insufficient social care packages and crumbling hospitals. Given this delay to the new hospital programme, will the Secretary of State commit to prioritising more social care packages now, rather than waiting three years for a review to be complete? Although the Health Secretary is not responsible for the state of the NHS or the state of the economy, which the Government inherited, the new hospital programme was seen as part of the solution to the crisis in the NHS, and people across the sector have warned that delaying the programme will only mean more treatments cancelled and more money wasted plugging holes in hospital buildings that are no longer fit for purpose. We are therefore concerned that one of the biggest announcements to affect the NHS over the next few years is coming out right now, during Donald Trump’s inauguration, because it will not get the media attention it deserves. Liberal Democrats therefore urge the Health Secretary to promise to release a full impact assessment on how the delays to the new hospital programme will affect patients and NHS staff.
- 15 Jan 2025 · Foot and Mouth Disease · Hansard source
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It is good to see cross-party support for increased investment in Weybridge, which has long been needed, but my right hon. Friend the Member for Orkney and Shetland (Mr Carmichael) mentioned biosecurity, and we know that a great deal of illegally imported meat is coming through our ports. That is a huge biosecurity risk, and an even greater risk if there is foot and mouth on the continent. As well as investing in Weybridge and improving those facilities, can we look at how we can resource the port authorities properly to catch all this illegally imported meat?
- 15 Jan 2025 · Rivers, Lakes and Seas: Water Quality · Hansard source
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It is a pleasure to serve under your chairmanship, Mr Dowd. I congratulate the hon. Member for Monmouthshire (Catherine Fookes) on securing this debate. There are two chalk streams in the Winchester constituency—the River Itchen and the River Meon. The River Itchen flows through the heart of our city; it is not just a beautiful part of our environment but part our cultural heritage as well. There has been a lot of talk about chalk streams in the Chamber today, including in the eloquent contribution of my hon. Friend the Member for South Cambridgeshire (Pippa Heylings). However, we must remember never to take these streams for granted. There are only 210 chalk streams in the world, and 85% are in southern England. The biodiversity and ecosystems of some of them are completely unique, and these streams have been designated as sites of special scientific interest. In the southern chalk streams, for example, the Atlantic salmon are genetically distinct from those in the rest of the ocean. In that respect, dumping sewage and other pollutants in sites of special scientific interest is not only morally wrong but an act of ecological vandalism. Although we support many of the measures the Government have brought forward, after the last Government ignored sewage dumping for so long, we have a couple of specific concerns about chalk streams. One is about the recent statement confirming plans by the Department for Environment, Food and Rural Affairs to scrap the chalk stream protective pack, without anything else being announced specifically to replace it. Chalk streams form over millions of years and are a unique part of our heritage. The Government need to recognise their importance and not merely lump action on them in with other protective measures. Will the Minister therefore please discuss the Department’s plans to put together a chalk stream-specific recovery plan and to achieve special protective status for all chalk streams? To finish off, I congratulate and pay tribute to all the community groups in Winchester that work so hard on chalk streams—the citizen scientists, the Hampshire and Isle of Wight Wildlife Trust, and the river keepers. They are really working hard, and we and the Government need to support them in every way we can.
- 15 Jan 2025 · Engagements · Hansard source
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Q2. The Russian invasion of Ukraine has led to the emergence of bacteria that are severely resistant to multiple antibiotics, and this is now seriously delaying the return of injured soldiers to the frontline. We know that, just like Mr Putin, these superbugs do not respect national borders. It is only a matter of time until we start to detect them in our NHS hospitals, and we know that antimicrobial resistance is a huge challenge facing us at the moment. Will the Prime Minister consider supporting the Ukrainian war effort by providing rapid diagnostic tests that can be used in the field and in civilian hospitals, which would not only enable us to diagnose and treat these resistant infections more quickly, returning soldiers back to the frontline more quickly, but provide valuable surveillance data to help global public health and protect our NHS from these dangerous bacteria?
- 14 Jan 2025 · Tobacco and Vapes Bill (Fifth sitting) · Hansard source
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I am reticent to extend the discussion about cigarette papers; I was unaware it was possible to discuss something to such an extent. I am not legally trained, so I ask this for my own understanding as someone who is not a learned Member. If the exact same product was renamed and rebranded as model paper or musical instrument paper, would this law still apply to it?
- 14 Jan 2025 · Tobacco and Vapes Bill (Sixth sitting) · Hansard source
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On the subject of how nicotine affects the brain and brain development, one thing we have not really touched on—and we have touched on many physical health issues—is the incidence of smoking among people with mental health issues. One submission was from the Mental Health and Smoking Partnership, which said that 45% of people with a serious mental health issue smoke, and around 25% of people with clinical anxiety. It would stand to reason that the impact on a young person’s brain could also start to lead to serious mental health issues, as well as all the physical health and development issues.
- 13 Jan 2025 · Violence against Women and Girls · Hansard source
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The entire country was appalled by the terrible crime of girls being groomed by gangs of older men, and outraged by the lack of action taken by authorities to help protect those victims. It is about 10 years since these crimes first came to light. Since then we have had the Jay inquiry, which has made 20 recommendations. Will the Government commit to implementing all those recommendations, in full and at pace, to help protect future victims?
- 13 Jan 2025 · Violence against Women and Girls · Hansard source
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6. What steps her Department is taking to help tackle violence against women and girls.
- 13 Jan 2025 · Sixth-form College Strikes: Sussex · Hansard source
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This is a huge problem in my constituency. Between Sparsholt agricultural college, which provides specialist training, as has just been mentioned, and Peter Symonds sixth-form college, which is one of the biggest sixth-form colleges in the country, a total of almost 9,000 students are affected by this pay disparity and the resulting dispute just in my constituency alone. Does the Minister agree that the Government need to start viewing education as an investment not just in our young people, but to grow the economy, not purely as a cost to be cut, which seems to have been the case over the last few years?
- 9 Jan 2025 · Tobacco and Vapes Bill (Fourth sitting) · Hansard source
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We could rephrase the way we talk about civil liberties. We currently have a generation among whom some are addicted and have no choice, and we will be allowing a future generation to be free from having their choice taken away by addiction.
- 9 Jan 2025 · Tobacco and Vapes Bill (Fourth sitting) · Hansard source
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I agree with everything that has been said; the Minister has given a powerful summary. We have discussed freedom of choice and the lack of it, and I remind hon. Members of the extreme examples provided by some of the expert witnesses yesterday: they talked about someone who had their leg amputated purely because of complications as a result of smoking, and who, the same day, felt the need to light up another cigarette. There is no freedom of choice when someone is addicted to this substance. This might sound comical, but it shows that there is no safe level of passive smoking: as vets, we struggle to manage asthma in pets—in dogs and cats—that come from houses where the owners smoke. That is how dangerous it is. This Bill is obviously about public health—I am not trying to conflate human and animal health—but the perception that there is a safe level of smoking is utterly wrong.
- 9 Jan 2025 · Tobacco and Vapes Bill (Fourth sitting) · Hansard source
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On a point of order, Mr Dowd. I am not sure whether this is a point of order, and I am not sure how the other parties voted on this, but this was a non-whipped vote for the Liberal Democrats. It is not a Liberal Democrat amendment; it is an amendment from an individual MP. The entire Liberal Democrat health team certainly do not support the amendment to change the minimum age of sale to 25, and the majority of the Liberal Democrat party voted in favour of the Bill as a whole. I want to put it on the record that the Lib Dems are not in favour of the amendment.
- 9 Jan 2025 · Tobacco and Vapes Bill (Fourth sitting) · Hansard source
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Will the hon. Gentleman give way?
- 9 Jan 2025 · Tobacco and Vapes Bill (Third sitting) · Hansard source
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I accept the view that having to provide ID will be inconvenient and frustrating for some people, but all the expert witnesses on Tuesday pointed out that many smokers do not wish the younger generation to continue smoking. I think that most of them would probably be of that view that the slight infringement of their civil liberties in having to carry ID is a small price to pay for the knowledge that they are preventing smoking from being taken up.
- 7 Jan 2025 · Tobacco and Vapes Bill (Second sitting) · Hansard source
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Q I am assuming that from a public health point of view, looking at the epidemiology, certain communities and demographics will be more greatly affected by this. Is that something that you are mindful of? How do you see the Bill changing health inequalities? Alison Challenger : We are very mindful of that. Some of the statistics we give around smoking prevalence are an average smoking prevalence for often quite large geographical areas. For my own area in west Sussex, our local survey suggests there is a variance of 4.3% in our most affluent area compared with 16% in our least affluent area. Those are still averages. We also know that in households in the most deprived part of our area, 40% of children are exposed to cigarette smoking from a parent or carer. That is through our own survey. The point I am trying to make is that there is very much a health gradient, and in those who are most disadvantaged and living in our most disadvantaged areas, we see both higher rates of smoking and more children exposed to that smoking. Those children are more likely to take up smoking if they have been exposed to it.
- 7 Jan 2025 · Tobacco and Vapes Bill (Second sitting) · Hansard source
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Q Is there a ballpark figure for a general day? When you have a list of paediatric respiratory cases, are maybe 10% or 20% due to this? Professor Steve Turner: The children who are exposed to second-hand smoke in the home are over-represented among children with respiratory symptoms. Parents do not want their children to smoke, so they feel torn. They are conflicted: they are addicted to nicotine, but they do not want their children to smoke, and having a smoke-free generation will address that almost impossible parental conflict.
- 7 Jan 2025 · Tobacco and Vapes Bill (Second sitting) · Hansard source
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That is well articulated. Thank you.
- 7 Jan 2025 · Tobacco and Vapes Bill (Second sitting) · Hansard source
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Q Dr Ahmed asked almost word for word what I was going to ask, but from a population medicine point of view, do you have a rough estimate of how much smoking is costing the NHS and how much would be saved if the measure was implemented properly? Professor Linda Bauld: I do not have in front of me the cost to the NHS—other witnesses will probably have it at the tip of their tongue—but it is substantial. If you look at the number of admissions to hospital from smoking, there are over 500,000 every year in England, and we still have over 75,000 deaths. By reducing smoking prevalence, you are going to see very significant impacts and cost savings. The other thing we know from our research, as previous witnesses have said, is the effect on productivity and workplace absence. As you all know from your constituencies, smoking is also driving some of the loss of people from the workforce in their 50s, early 60s or even younger that we have seen recently. I think that you will see cost savings and an impact on productivity. The final thing that I would say on that, despite not having the figures in front of me, is that this is an area that causes such a burden to the NHS. One of the things that our CMOs did not make clear earlier, although they said it indirectly, is that if you look at non-communicable diseases in the UK, smoking is the only risk factor that is linked to all four of our NCDs—respiratory conditions, cancer, diabetes and heart disease. It is the only one that is directly linked to all of those. If you think about all of those diseases, and the burden of disease that Sir Gregor mentioned, of a 21% increase by 2040 in my own nation of Scotland, we are going to make an impact on that, and that will achieve cost savings for the NHS—and, importantly, for social care.
- 7 Jan 2025 · Tobacco and Vapes Bill (Second sitting) · Hansard source
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Q You might not have the answer here, but do you have a rough estimate of what it costs the NHS financially to deal with passive smoking and second-hand smoking every year? Alison Challenger: I do not have the actual figure, but it is significant. One of the early benefits of the Bill going through will be the impact on children, particularly around asthma. Obviously, second-hand smoke will be exacerbating some of those respiratory illnesses, particularly for children. There is a considerable burden on the NHS as a result of breathing in second-hand smoke. We must also consider those who have cardiovascular disease and those who have existing respiratory illness. It is not always evident that somebody is vulnerable, so it is really important that the measures in the Bill serve to protect those who are vulnerable from inhaling second- hand smoke.
- 7 Jan 2025 · Tobacco and Vapes Bill (Second sitting) · Hansard source
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Q Thank you for coming all the way down from Aberdeen; I worked there for a few years, so I know it is a long way. We have been trying to ask some panellists approximately what this issue is costing the NHS. As a consultant, in your clinic, doing respiratory paediatrics, what proportion of your patients are in some way involved with smoking or second-hand smoking? Professor Steve Turner: The impact on the whole of society of second-hand smoking in children is complex, but there are various pieces of the jigsaw. First of all, children come to the clinic, are admitted to hospital, come to the emergency department, or go and see the GP, so there is that healthcare side. If any of you have children, however, when your child is off school, that has implications for you as a family; there are some difficult discussions over breakfast about who is going to work and who is not. Therefore, there are a number of different impacts on us as a society, economically and to the NHS from second-hand smoking. I am not clever enough to put a number on it, but it is a lot bigger than I think people know. I do know that £46 billion is the number cited as the direct health cost to the NHS of smoking—it is almost too big to consider—but I suspect that the wider societal cost will probably be a magnitude greater than that.
- 18 Dec 2024 · Winter Preparedness · Hansard source
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While we all pay tribute to the NHS staff who work over Christmas, we should remember that they are not only missing Christmas with their families, but putting their own health at risk in caring for us. On Monday, Winchester hospital declared a critical incident, saying that it could admit no more patients and asking people to seek treatment elsewhere. For years, the chief executive officer of the hospital has been requesting 160 extra social care packages, because the lack of social care is stopping the flow of patients through the hospital. She said that providing such packages is the single biggest thing that would help deal with the winter crisis. In September, Winchester hospital applied for winter crisis funding to put an urgent treatment centre on the front of its A&E department to help deal with the anticipated extra caseload. It is now December, and the hospital has still not heard whether it will get the funding. Given the number of critical incidents being declared, will the Minister meet me and the CEO to discuss how we can support the hospital through this situation, and how we can avoid having a planned crisis next winter?
- 17 Dec 2024 · Community Pharmacies: Devon and the South-west · Hansard source
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I completely agree. As other Members said, in some cases it costs pharmacies money to dispense NHS prescriptions. That is clearly not viable, especially given that the core NHS funding for pharmacies has been reduced by about 30% since 2015. Some healthcare providers are really struggling and are on the brink of financial viability. They include pharmacies, hospices and some social care providers. The increase in national insurance contributions will cost the pharmacy industry approximately £50 million extra this year. Once again, we urge the Government to exempt some healthcare providers from the increase in national insurance or potentially repay that money through another mechanism, because it could be a death blow to social care providers, pharmacies and hospices that are on the brink of financial viability. I thank hard-working pharmacists, such as the hon. Member for North Somerset (Sadik Al-Hassan), who really are part of the community. People come in; they trust them. Pharmacists have a really good personal relationship with their communities. Through the work they do and the hours they work, pharmacies are a lifeline for millions. They provide nearly a third of consultations outside normal working hours. They are often the only point of care for people living in rural areas. As our population grows older and faces increasingly complex health challenges, pharmacies must be empowered to step up and deliver the reliable, flexible care solutions that our communities desperately need. As we talk about the strain on the public finances and the NHS budget, we cannot be tempted to see primary care—GPs, mental health provision, pharmacies or dentists—as a cost to be cut. We must invest in them and ensure we keep them viable, because it is always more cost-effective to treat people in their communities and prevent them from getting ill than it is to treat them when they end up in hospital.
- 17 Dec 2024 · Community Pharmacies: Devon and the South-west · Hansard source
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I pay tribute to my hon. Friend the Member for Tiverton and Minehead (Rachel Gilmour) for securing this debate, which is very timely because just yesterday the hospital in Winchester declared a critical incident. It has had so many infectious patients come in with various flus, the norovirus and other infectious diseases that it is short of beds. It has asked people to seek other healthcare arrangements, and has specifically mentioned pharmacies as a place to go for advice. Alongside providing more social care packages to free up beds, one part of the solution to prevent the yearly NHS winter crisis is to increase the delivery of flu and covid vaccinations well before winter. We have seen that, with the right Government support, our community pharmacies are well placed to deliver vaccinations; they are not just accessible but convenient, and they deliver care right in the heart of a community. I have been to many pharmacies in and around Winchester, including the Springvale pharmacy in Kings Worthy, the Wellbeing pharmacy on Winchester High Street and the Colden chemist in Colden common. I have spoken to the staff who work there and have heard at first hand that the NHS funding model really isn’t working for them. I was saddened to hear that, although those pharmacists are passionate about their work, they struggle to see how they will remain open for the next 12 to 24 months.
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