---

Public Health White Paper

I am grateful to the right hon. Gentleman for his support for the strategy that is set out in the White Paper. However, he then proceeded to aim off in every other direction. He said that I was in opposition for six and a half years, and, indeed, I made it very clear six years ago that when we came back into government, we intended to ring-fence the public health budget, to create directors of public health who were accountable to the NHS and to local authorities, and to establish a public health service that was more independent and more effective. His Government could have adopted those proposals six years ago, but they simply did not do so. What was the record of the right hon. Gentleman's Administration? Obesity rates in this country are way above average; in fact, they are among the highest in Europe. Alcohol-related admissions to hospital have doubled in seven years. Sexually transmitted infections are up by more than two thirds in the last decade. Even smoking rates have not changed. Parliament approved a smoking ban in public places, but in the most recent years, there has been persistent prevalence of smoking. It has not gone down in the past year. One in five of the population are experiencing mental ill health at any given time. Those are the records of the Labour Government on public health. Inequalities have widened. In life expectancy, the gap has widened. In infant mortality, the gap has widened. On their own measures, the Labour Government failed in public health, and we are going to put in place a strategy that is truly effective. Some of the leading international experts, including Sir Michael Marmot, have welcomed what is in the public health White Paper today. The public health profession also welcomes it, because it knows that we are committed to addressing the wider determinants of health. My colleagues across Government are direct participants in the Cabinet Sub-Committee that is delivering this strategy, which is the starting point for public health delivery. Not all the details are in here. We are going to move on to a tobacco control strategy, a physical activity plan, an obesity strategy, alcohol strategies and a range of other responses to the public health threats that we face, and we are going to do that across Government. Only today, my right hon. Friend the Chancellor of the Exchequer announced that we would do what we said we would do, and increase duty on the strongest beers while reducing it on some of the weaker ones, thus beginning the process of incentivising and nudging. The right hon. Gentleman asked about the responsibility deal. Let me give him an example. In 2004, the last Labour Government said that they would introduce front-of-pack food labelling. They wanted to introduce a single traffic-light system. All that fell apart in utter confusion. There was never a consistent front-of-pack food labelling system. The last Government never worked with industry; they worked against industry, and what was the result? A variety of different systems, and nothing consistent for the public to look at. Only by working together on a voluntary approach will we start to make progress more quickly, whether it is on labelling, reformulation or activity with employers in the workplace. We will make progress, we will do it more quickly, and we will regulate only when necessary, rather than resorting to regulation and, as the Labour Government did, failing to make any progress and failing to regulate. That is not a basis on which we can deliver the public health improvements that we need. This is a starting point for a public health strategy that will deliver the improvements in public health that the country requires. We are a Government who are committed to those improvements. They are central to improving well-being, and our strategy will deliver them.