Part of the debate – in the Senedd at 5:35 pm on 19 September 2017.
Thank you very much for those questions, and particularly for the focus that you gave at the start in terms of what we can do to prevent children and young people from taking up smoking in the first place. And our recent public health Act, as you know, extends the smoking ban to places where children and young people often frequent. And there’s a commitment within that Act that Ministers will be able to add other places to the list of smoke-free settings in due course as well. So, there’s a commitment within our plan to consider what other settings can be added to that as well, and I’ll be looking in the first instance at the tobacco control delivery group and its sub-groups to advise, although I was very aware that there were lots of ideas that came forward during the scrutiny of the Act. And, of course, we talked a lot about how we’re essentially banning a legal act in a public place, so there are lots of human rights considerations to be taken into account. But, of course, this is about the health of the children and young people of Wales.
There are some actions that have already started in terms of our action plan that we launched today, one of which is reviewing the tobacco criteria within the national quality award for the Welsh network of healthy schools scheme, and that’s to ensure that it does reflect the best practice and the best evidence that we have about young people and tobacco. That also includes other tobacco products such as e-cigarettes as well. We know that we have to be very responsive and agile in terms of the new ways in which tobacco is able to be administered to people, and we’re very clear within the action plan that our tobacco control delivery board and its sub-groups are going to be very active in terms of monitoring the latest trends, the latest technologies and the latest use and so on.
We’re also keen to be using the curriculum to see what we can do to further ensure that correct messages are getting through to young people about the dangers of smoking. And also within our action plan we have actions for further education and higher education settings because these are times when young people might think about starting smoking, but also times when it’s actually a good opportunity to reach out to them and provide the information that they need and the support that they need in a different setting to give up smoking as well.
I share your concerns about the high level of smoking amongst people who are experiencing mental ill health, and again this comes back to that social justice issue that we shouldn’t be accepting worse for people who are suffering from mental ill health, we shouldn’t be accepting worse for people who are living in poorer communities—we should be expecting good health and good services for all of these people. So, I’m pleased that this is addressed in the plan but, again, I would say the tobacco control delivery board as well is very open to any further ideas that people might have in terms of how we can strengthen our approach, and I’m keen to talk, as we go about looking again at the regulations on smoking in mental health units, to have a wider discussion, really, with people with mental ill health and the organisations who represent them as well.
And on that, I should have at the end of my comments in response to Angela mentioned the issue of the nicotine levels. And I’d be keen to have a meeting with you to further discuss that, if that would be helpful as well.
There are lots of targets and lots of opportunities to monitor the delivery of the plan. You’ll see that within it we have indicators from the national survey of health behaviour in school-age children, School Health Research Network studies, Public Health Wales’s maternity indicators, other Public Health Wales indicators, and other performance targets as well. So, it should be very clear to people as to what extent we are meeting our targets and our aspirations within the plan.
In terms of that longer term plan and that longer term aspiration for a smoke-free Wales, I’m aware of the Cancer Research UK and World Health Organization aspiration for a smoke-free society by 2035, and this will certainly be something that the tobacco control delivery board thinks about when advising on the next targets. Although, I would imagine that they would want to set a closer target. So, if we were republishing a new plan in 2020, then I imagine that we’d be looking towards, say, a 2025 target and so on. But, ultimately, obviously, our vision is for a smoke-free Wales.