Annual Representative Meeting agenda (ARM)

ARM agenda: Science, health and society (Tuesday 09:30 - 10:00)

204. Receive: Report by the Chairman of the Board of Science (Baroness Hollins)

 

* 205. Motion by Conference of Public Health Medicine

That this Meeting acknowledges both the substantial harm to health caused by smoking cigarettes and that nicotine addiction is very hard to break. It therefore calls on the BMA to campaign to ban forever the sale of cigarettes to any individual born after the year 2000.

 

205a. Motion by City & Hackney Division

That this Meeting notes the substantial harm caused by smoking cigarettes and that nicotine addiction is hard to break, and:

  1. calls on the Board of Science to undertake a review of the potential health effects of a policy of banning forever the sale of cigarettes to people born after a certain year (e.g. the year 2000)
  2. calls on the BMA to lobby for the implementation of a ban on the sale of cigarettes to people born after a certain year if shown to have health benefits.

 

* 206. Motion by the Agenda Committee (motion to be proposed by the Scottish Council)

That this Meeting recognises the need to protect the future health of the population against the rising tide of obesity and increasing demands on the Health Service and calls on governments to:

  1. make significant investment in simple, practical and understandable health and nutrition education for all UK school pupils
  2. develop a requirement for all schools to introduce a new element to their curricula which educates young people across the UK in the appropriate, safe and effective use of health services, and raises awareness about responsibility for self management of health when required.

 

206a. Motion by Scottish Council

In order to protect the future health of the population against the rising tide of obesity, this Meeting demands that the UK and devolved governments make significant investment in simple, practical and understandable health and nutrition education for all UK school pupils.

 

206b. Motion by Manchester & Salford Division

That this Meeting notes that the retail industry continue to target children in the sale of confectionery, particularly sweets and chocolate bars and:

  1. condemns this strategy
  2. recognises that this goes directly against this governments policy, “Reducing obesity and improving diet,” released in March 2013
  3. calls for stricter guidance, specifically on the placement of confectionery
  4. calls on the BMA to lobby the government to issue stricter guidance on the placement of confectionery and targeting of children by the retail industry.

 

206c. Motion by North West Regional Council

That this Meeting notes that the retail industry continue to target children in the sale of confectionary, particularly sweets and chocolate bars and:

  1. condemns this strategy
  2. recognises that this goes directly against this governments policy, “Reducing obesity and improving diet,” released in March 2013
  3. calls for stricter guidance, specifically on the placement of confectionary
  4. calls on the BMA to lobby the government to issue stricter guidance on the placement of confectionary and targeting of children by the retail industry.

 

206d. Motion by Scottish Council

That this Meeting calls on governments to develop a requirement for all schools to introduce a new element to their curricula which educates young people across the UK in the appropriate, safe and effective use of health services, and raises awareness about responsibility for self management of health when required.

 

* 207. Motion by Manchester & Salford Division

That this Meeting notes that only 10% of the UK population are supplied with artificially fluoridated water following fragmented local introduction schemes since 1968 and:

  1. acknowledges that this regional disparity has had detrimental effects on the dentition of areas where fluoridation is not routine
  2. calls for a universal approach to water fluoridation
  3. calls for the BMA to lobby the government to fund further research to allay fears associated with water fluoridation
  4. calls on Public Health England to renew its policy on water fluoridation, not just its guidance.

 

207a. Motion by North West Regional Council

That this Meeting notes that only 10% of the UK population are supplied with artificially fluoridated water following fragmented local introduction schemes since 1968 and:

  1. acknowledges that this regional disparity has had detrimental effects on the dentition of areas where fluoridation is not routine
  2. calls for a universal approach to water fluoridation
  3. calls for the BMA to lobby the government to initiate further research to allay fears associated with water fluoridation
  4. calls on Public Health England to renew its policy on water fluoridation, not just its guidance.

 

208. Motion by Leicestershire & Rutland Division

That this Meeting agrees with the Chief Medical Officer that drug addiction is a health problem resembling alcoholism and smoking and asks the BMA to promote the legalisation of smoking cannabis.

 

* 209. Motion by the Agenda Committee (motion to be proposed by the N Ireland (Southern) Division

That this Meeting calls upon governments to introduce legislation to ensure that e-cigarettes are marketed as quit-smoking aids and not as entry portals to nicotine addiction, and:

  1. for governments to prohibit 'vaping' on e-cigarettes in public places where smoking is prohibited
  2. for the BMA to lobby for restriction of e-cigarette advertising in the UK.

 

209a. Motion by N Ireland (Southern) Division

That this Meeting welcomes the efforts of the European Parliament to subject e-cigarettes to the same advertising restrictions as tobacco products but calls on the BMA to lobby for more prompt restriction of e-cigarette advertising in the UK.

 

209b. Motion by Derbyshire LMC

That this Meeting:

  1. recognises that e-cigarettes may be extremely useful in helping smokers to quit
  2. calls upon interested GPs, and others, to collect data on the use of e-cigarettes among their patients and on outcomes
  3. calls upon GPC to negotiate the inclusion of code XaaNL 'user of electronic cigarettes' in the QOF, to facilitate the collection of data
  4. calls upon the UK governments to introduce legislation to ensure that e-cigarettes are marketed as quit-smoking aids and not as entry portals to nicotine addition.

 

209c. Motion by Tayside LMC

That this Meeting is concerned at the current lack of regulation of electronic cigarettes and, whilst welcoming the decision by the MHRA to regulate electronic cigarettes as a medicine, calls on all four nation governments to:

  1. include e-cigarettes within the products banned from use in enclosed public places
  2. prohibit the sale of e-cigarettes to those under 18 years
  3. ensure that e-cigarettes are only displayed for sale alongside other nicotine replacement therapies.

 

209d. Motion by Cardiff and Vale of Glamorgan Division

That this meeting calls on government to legislate to prohibit:

  1. the promotion through advertising and other means of e-cigarettes
  2. 'vaping' on e-cigarettes in public places where smoking is prohibited.

 

209e. Motion by Cardiff and Vale of Glamorgan Division

That this Meeting congratulates the government on the enabling legislation to:

  1. introduce standardised packaging of tobacco products
  2. prohibit smoking in cars when a child is a passenger
  3. prohibit proxy purchasing of tobacco products by an adult for a person under 18 years
  4. prohibit the sale of e-cigarettes to persons under 18 years of age
  5. calls on government to implement the changes through regulation by January 2016.

 

209f. Motion by Liverpool LMC:

That this Meeting believes that e-cigarettes are only cigarette substitutes which perpetuate the smoking behaviour rather than aid cessation of smoking, and accordingly, their use should not be encouraged as a method to assist with smoking cessation advice.

 

* 210. Motion by East Berkshire Division

That this Meeting:

  1. recognises the importance of bystanders acting quickly to perform basic cardiopulmonary resuscitation and use an automatic external defibrillator (AED) when they witness a sudden cardiac arrest out-of-hospital
  2. believes the government's reluctance to mandate for the teaching of resuscitation skills in schools is based on ideology rather than evidence, and calls on the BMA to continue to support the British Heart Foundation and Resuscitation Council (UK) campaign for this to be taught in schools
  3. welcomes the increasing availability of AEDs in public places, workplaces, and other areas where the public have access, and calls on the BMA to lobby the government to increase the number of people trained in using AEDs.

 

210a. Motion by Southern RSASC

That this Meeting asks that discussions between the BMA and government’s Education Department and/or Department for Health are undertaken to ensure that all schools in the United Kingdom, are required to include as part of their curriculum basic life support beginning from primary school age.

 

210b. Motion by Cardiff and Vale of Glamorgan Division

That this Meeting calls on those teaching science to key stages 1-4 to include life support skills and cardiopulmonary resuscitation techniques in teaching about the heart and circulation.

 

The motion(s) below, in the shaded area, are unlikely to be reached

211. Motion by Scottish Council

That this Meeting notes that research shows that children who learn to play a musical instrument benefit in many ways, including improved language skills, mathematical skills, enhanced co-ordination, better reading and social skills and is beneficial especially for those with developmental delay and autism. This Meeting therefore:

  1. deplores that some educational authorities are charging fees for music lessons
  2. calls upon the BMA to lobby education authorities to provide free music lessons.

 

212. Motion by Sheffield Division

That this Meeting notes that when some medically trained individuals have sought to expose inaccuracies in pseudoscientific movements they are often met with legal challenges in an attempt to silence them. Therefore this Meeting seeks to support such scientists and doctors by:

  1. lobbying Parliament and the legal authorities to ensure critical appraisal of health claims be included as a form of freedom of expression, as per Article 10 of the Human Rights Act
  2. lobbying Parliament and the legal authorities to shift the burden of proof in any such legal cases onto those whose claims are contrary to conventional scientific and medical theory
  3. media coverage of such topics is often used by patients to inform their healthcare choices and media outlets and the Royal Colleges should work more closely to ensure the public receives the information necessary accurately to inform healthcare choices.

 

213. Motion by West Pennine LMC

That this Meeting believes that all processed food above 400 kcal should have this printed in bold letters on the packaging.

 

214. Motion by South Essex Division

That this Meeting urges the BMA Chairman to negotiate with the government to help to reintroduce beneficial complementary / traditional Health care such as Yoga Therapy, Osteopathy, Chiropractice etc.

 

215. Motion by North West Regional Council

That this Meeting recognises the serious impact upon local government and NHS funding of allocating resources according to the age structure of the population without regard to deprivation and its impact on life expectancy. As the burden of health and social care expenditure is related to proximity to death more strongly than it is to distance from birth, this allocation mechanism is regressive and irrational and is causing great damage to the health of the most vulnerable areas of the country.

 

216. Motion by Oxford Division

That this Meeting regarding the Channel 4 series the UnDateables, this meeting:

  1. notes that there has been concern amongst the disabled community
  2. believes that it may be providing entertainment at the expense of the vulnerable people it features
  3. is concerned that autistic participants in particular may not be able to imagine the potential for this form of potential exploitation
  4. calls on the BMA to campaign against this series and any other similar entertainment that has the potential to exploit vulnerable people.

 

217. Motion by Cardiff and Vale of Glamorgan Division

That this meeting calls on government to:

  1. make carbon monoxide alarms mandatory in
  2. all homes with carbon-based fuel burning appliances and
  3. all rented accommodation
  4. ensure all campsites supply campers with information that a barbecue should never be taken inside a tent or caravan even when the charcoal appears burnt out
  5. require fire safety officers to include CO awareness in fire safety training
  6. request all medical schools to ensure CO poisoning is covered early in the curriculum.

 

218. Motion by Cardiff and Vale of Glamorgan Division

That this Meeting urges the Secretary of State for Health to ensure broadcasters uphold the WHO's international guidelines on suicide prevention.

 

219. Motion by Cardiff and Vale of Glamorgan Division

That this Meeting encourages the use of naprotechnology as an option for appropriate infertile couples.

 

220. Motion by N Ireland (Western) Division

That this Meeting believes that deaths and injuries from guns are a public health problem and deplore political objections to this view in the United States of America.

 

221. Motion by Worcestershire and Herefordshire Division

That this Meeting views any recommendation to lower the age of consent from 16yr to 15 yr with the utmost concern.

 

222. Motion by South Devon Division

That this Meeting notes the term ‘integrated healthcare’ is used variously to mean: (i) “The integration of health, social and mental care services.” (e.g. Nigel Hawkes. BMJ 2013;347:f7487 and BMA Junior Members Forum 2013) or (ii) ‘The integration of “ancient wisdom” with “the best of new technology and current knowledge…and which maximizes the potential of conventional, lifestyle and complementary approaches in the process of healing.” (e.g. HRH the Prince of Wales. Integrated health and post modern medicine. J R Soc Med December 2012; 105(12):496-80 and Constitution, ‘College of Medicine’). In order to avoid confusion between these meanings and to avoid misleading patients and the public, this Meeting calls on commentators, speakers and writers who use the phrase ‘Integrated health care’ (or variants) to make clear in which sense they mean the phrase and whether or not it is their intention to have complementary and alternative medicine systems “integrated” with regular conventional scientific evidence-based medicine.’

 

223. Motion by South Devon Division

That this Meeting calls on all charities such as the Royal Naval and Royal Marine Childrens’ Fund which recommend ‘alternative’ techniques such as Cerebro Spinal Therapy and Reiki for the management of service personnel suffering from Post Traumatic Stress Disorder to publish any plausible evidence they have of the benefits of such techniques in order that patients helped by and donors to such charities can avoid being misled and make fully informed choices.

 

224. Motion by Mid Mersey LMC

That this Meeting applauds the government's initiative to increase tax on sugary drinks.

 

225. Motion by South Essex Division

That this Meeting calls on the government to impose a ban on carbonated high sugar drinks and similar beverages that has been proven to seriously harm the health of the nation.

 

226. Motion by University College London

That this Meeting:

  1. welcomes the recent announcement that the Health research Authority (HRA) has been funded to develop an assessment and approval process that aims to alleviate the inconsistencies and unnecessary duplications that have been so frustrating for doctors who want to be involved in clinical trials
  2. welcomes HRA’s intention that the proposed assessment and approval process will reduce unnecessary bureaucracy surrounding such trials
  3. believes that HRA’s intention offers the opportunity for better quality as well as quantity of clinical trials in the future
  4. believes that the outcome of any medical research lies in improving patient care
  5. calls on the BMA to ensure that the HRA helps to promote this outcome by insisting that transparent trial reporting is an integral component that is embedded fully within any new assessment and approval process.

 

227. Motion by Islington Division

That this Meeting notes with concern the food industry relationships with people advising the government e.g. scientific advisory committee on nutrition (SACN). In view of this country’s increasing obesity problems we call on the BMA to press the government to rethink its policy on the composition of the SACN.

 

228. Motion by Scottish Council

That this Meeting:

  1. welcomes recent improvements in alcohol related deaths and hospital admissions in Scotland
  2. recognises that falling affordability has been a factor in reducing alcohol related death rates
  3. recognises that the alcohol duty escalator has had a beneficial effect in raising the price of alcohol
  4. continues to support minimum unit price as a price control mechanism
  5. calls on the UK government to maintain the alcohol duty escalator.

 

229. Motion by Tayside LMC

That this Meeting recognises the scale of the impact of alcohol misuse on the NHS and society as a whole and believes that a wide ranging strategy including measures to address price and availability is necessary and:

  1. is disappointed at the UK government’s decision not to introduce minimum unit pricing in England
  2. condemns efforts by the Scotch Whisky Association to delay implementation of a minimum unit price in Scotland
  3. calls on the UK government to reconsider its decision not to introduce minimum unit pricing in England
  4. calls on the Scotch Whisky Association to cease its legal action allowing implementation of minimum unit pricing to be implemented in Scotland.

 

230. Motion by Islington Division

That this Meeting deplores that the government reneged on their promise on the minimum pricing of alcohol. We congratulate the BMA on its continued campaign on this issue and note with dismay the lobbying activities of the alcohol industry.

 

231. Motion by Leicestershire & Rutland Division

That this Meeting asks the BMA to condemn the government for abandoning a potentially practicable policy of introducing a Minimal Unit Price (MUP) for alcohol after consulting representatives of large drinks firms and supermarkets and burying key evidence on the benefits of MUP in a commissioned report from the University of Sheffield before announcing a change of policy.

 

232. Motion by Bristol Division

That this Meeting calls on government to develop and adopt a simplified version validated nutritional nutrient profile, which can be used by parents, children and organisations to assess the nutritional value of food. Using a validated profile, to assess healthiness, we also call for the banning of advertising of unhealthy food:

  1. on television before 9pm
  2. as part of promotional, or programme-sponsorship aimed at families or children
  3. in any on-demand television programming.

 

233. Motion by North West Regional Council

That this Meeting agrees that “Children are being exposed to TV adverts promoting unhealthy food which should be banned during primetime family viewing. Children should not be commercially exploited and the advertising industry must take some responsibility for helping tackle the growing problem of childhood obesity”.

 

234. Motion by South Essex Division

That this Meeting calls on the government for imposition of strict scrutiny of advertisements in the public media including TV, for JUNK FOODs (especially in connection with family oriented TV programmes during prime hours) towards preventing harmful effects on the health of the nation.

 

235. Motion by South West RSASC

In the light of the irrefutable public health benefits of the existing restrictions on smoking indoors in public places, this Meeting calls upon the government to extend the ban to include outdoor smoking at establishments where food and beverages are sold for consumption.

 

236. Motion by Edgware & Hendon Division

That this Meeting calls on the NHS to deliver a programme of public education so that:

  1. patients can confidently self-care their minor illnesses where appropriate
  2. those with long term conditions can be empowered to more effectively self-manage their condition when appropriate
  3. the public and patients make use of the limited NHS resource appropriately and responsibly.

 

237. Motion by North West Regional Council

That this Meeting recognises that patients in the UK continue to face a mist of cigarette smoke at entrances to hospitals, despite on-going smoking bans and:

  1. admits that we have failed to fully protect our patients from secondary smoking outside our hospitals despite our persistent efforts
  2. recognises that smoking is an addiction much like alcohol and illicit drug use
  3. agrees that the time to start treating smoking like an addiction on par with alcohol use, is long overdue
  4. believes that the prescription of nicotine replacement therapy to smokers should be placed higher on hospital targets
  5. calls on the BMA to lobby the government to renew its guidance on the management of inpatients who smoke.

 

238. Motion by Salisbury Division

That this Meeting calls upon governments to regulate the deployment of the 'Mosquito' ultrasonic weapon against children.

 

239. Motion by Cardiff and Vale of Glamorgan Division

That this Meeting calls upon the government to raise awareness of the dangers of Shisha smoking and bring it in line with tobacco regulation in the UK.

 

240. Motion by Mersey RJDC

That this Meeting:

  1. recognises the challenge that obesity poses for the NHS, described by the Foresight group and the Royal College of Physicians London, with one in two adults likely to be obese in 2050
  2. also recognises that obese patients often have complex medical, psychological and social needs
  3. mandates the BMA to lobby for major investment in multidisciplinary weight management units, including the training of a cohort of specialist bariatric physicians.

 

241. Motion by Manchester & Salford Division

That this Meeting recognises that patients in the UK continue to face a mist of cigarette smoke at entrances to hospitals, despite on-going smoking bans and:

  1. admits that we have failed to fully protect our patients from secondary smoking outside our hospitals despite our persistent efforts
  2. recognises that smoking is an addiction much like alcohol and illicit drug use
  3. agrees that the time to start treating smoking like an addiction on par with alcohol use, is long overdue
  4. believes that the prescription of nicotine replacement therapy to smokers should be placed higher on hospital targets
  5. calls on the BMA to lobby the government to renew its guidance on the management of inpatients who smoke.

 

242. Motion by Lothian Division

That this Meeting calls the BMA to support the recommendations of Professor Pooley and his team at Lancaster, Leeds and Oxford Universities to encourage regular cycling as a form of transport.

 

243. Motion by Manchester & Salford Division

That this Meeting is appalled to observe the increasing number of Paediatric Hospitals selling “junk” foods, particularly those which are PFI builds and:

  1. calls for tighter control over the selling of “junk” foods in hospital premises
  2. calls for a ban on the presence of fast food outlets on hospital premises
  3. calls for the BMA to lobby the DH and NHS to release policy on the sale of “junk” foods and presence of fast food establishments on hospital property.

 

A 244. Motion by North West Regional Council

That this Meeting is appalled to observe the increasing number of Paediatric Hospitals selling “junk” foods, particularly those which are PFI builds and:

  1. calls for tighter control over the selling of “junk” foods in hospital premises
  2. calls for a ban on the presence of fast food outlets on hospital premises
  3. calls for the BMA to lobby the DH and NHS to release policy on the sale of “junk” foods and presence of fast food establishments on hospital property.
     

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