Part of the debate – in the Senedd at 6:18 pm on 28 February 2017.
I do accept that, and the previous Minister for Health and Social Services did make a commitment that if the Bill did succeed in becoming law, he intended to consult on the principle of adding additional procedures to the list covered by the Bill shortly after the Bill’s enactment, and I’d be happy to stand by that commitment.
I think it’s important, though, that we don’t regulate procedures that are considered in law to be assaults, and currently there’s a case in Wolverhampton where police are prosecuting a man who was performing body modifications such as ear removal, nipple removal and tongue splitting. And he has been charged with three counts of causing grievous bodily harm with intent, and for the alternative counts of wounding without intent. So, we’re monitoring the progress of that case to understand where that line lies between body modification and assault.
Should sufficient evidence be provided through the consultation process in due course to suggest that body modifications are carried out frequently in Wales and that they are a significant risk to human health, further work would then need to be undertaken to understand the legal and ethical complexities of procedures before we could consider adding them to the list of special procedures, by way of affirmative regulations. But, as I say, I stand by the commitment made by the previous Minister in this regard.
Several Members referred to the fact that the Bill doesn’t have any explicit actions within it to tackle obesity, and when I gave evidence to the committee I was keen to stress that, actually, the Bill is only one part of a wider suite of measures. And I understand the frustrations that the committee has actually had in terms of being able to explore with people giving evidence what kinds of actions could be taken forward on this basis. I do thank the committee for the suggestions that it’s made, and emphasise that we are fully committed to tackling this important public health agenda. It won’t always be through legislation; for example, we already have nutritional standards in schools and hospitals, and there’s ongoing discussion with hospitals in terms of how we can extend healthy food to staff members and visitors to hospitals. We’ve got our healthy workplace work, the national exercise referral scheme, healthy eating programmes, and we are also putting pressure on the UK Government on the issue of the advertising of unhealthy foods, particularly to children as well.
I’m content to accept the principle of the committee’s recommendations that it makes in this regard, insofar as considering issues raised under existing powers and other legislative avenues. The committee will be aware that work is already progressing on the issue of nutritional standards in early years settings and care home settings. I’m also happy to discuss the issue of added sugar in school settings further with the Cabinet Secretary for Education, although, again, perhaps amending regulations would be the way in which we would address that rather than necessarily on the face of this Bill. Any changes there would have to be consulted on appropriately as well.
I know that the health committee has made a number of recommendations with regard to accessing toilets, and I would just like to confirm that local authorities will be expected to think about tourists and events and so on—so not just the local population—and wider equality issues as well when they are preparing their approach locally. So, I’m content to accept the recommendation that we work in partnership to develop a national map and I can tell Members that my officials are currently working with their IT counterparts to consider the necessary infrastructure required to collect the appropriate data from local authorities and incorporate those into existing mapping tools. Those data, then, could also be made available to third parties who’d be able to develop other maps and apps, for example, as well—I know there was keenness to develop apps. In consideration of the views of both the committee and expert witnesses, I’ve also asked officials to explore options for the development of an easily recognisable logo that could be displayed at publicly accessible toilet facilities across Wales as well.
With regard to minimum unit pricing, we do absolutely recognise the seriousness of the challenges that alcohol poses for our society, both for individuals and for communities more widely. It still remains our aspiration to take action on this issue, particularly, of minimum unit pricing. But Jenny Rathbone referred to the fact that efforts in Scotland have been referred to the Supreme Court, so we are watching what happens there very closely and as and when I’m able to say more to the Assembly on this issue, I will do.
And finally, I just want to confirm that I also believe that loneliness and isolation is an important public health issue as well, and we have a commitment in our programme for government to develop a cross-government strategy to address loneliness and isolation. As I say, and as Members have recognised, this public health Bill before us today is an extremely important piece of legislation and it remains one of many ways in which we’re trying to address the public health challenges facing the people of Wales.