14 th October 2014 Ailsa Rutter Summary Good progress made Key - - PowerPoint PPT Presentation

Fresh presentation for Darlington Health and Wellbeing Board

**5% by 2025 regional vision**

14th October 2014

Ailsa Rutter

Summary

• Good progress made
• Key elements to progress so far
• A long way to go- reminder of the reality
• Increasing discussions around the world around

ending the tobacco epidemic

• The Partnership’s vision
• The public’s support
• Stockton’s support for this vision

Reflections on progress to date

• NE largest regional

adult decline 2005- 2011

• 30% fewer

smokers

• 11-15 year olds

regular smokers 6% -all time low

• Looking back at

2005

• Looking back even

earlier- end of WW2

How did we get there?

• Working together collaboratively
• Working at regional and local as well as national level
• Developing a unified strategy
• Being comprehensive- eight key strands
• Promoting evidence-based arguments
• Proactive and reactive media work
• Building positive public opinion
• Building cross-party political support
• Working together- everyone’s business
• Noting it’s taken a long time on journey so far- 1962 RCP report on

smoking and health

• But still a long way to go….
• 15 a day
• 1 in 2
• Health inequalities impact

Children not adults start smoking

• 90% of smokers started before the

age of 19

• Children are three times as likely to

start smoking if their parents smoke

• 99% of 16 year old regular smokers

live in a household with at least one

• ther smoker
• Each year 200,000 children start to

smoke

• The biggest influence on

children smoking is adult smoking- need to change the adult world- through comprehensive approach 5

Smoking - not social status – is the greatest cause of health inequalities

6

Smokers from the highest social class have a lower life expectancy than non-smokers in the lowest social class 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 I+II IV+V Social Class Relative mortality Male non-smokers Male smokers

Highest Lowest

The life expectancy between rich and poor smokers is similar Richer smokers have a lower life expectancy than poorer non- smokers

Discussions at Making Smoking History in the North East Partnership

Vision: The Partnership exists to work collectively towards the long term aim to ‘Make smoking history for the North East’ where tobacco smoking ultimately becomes a thing of the past. Increasing discussions over last two years within the region

Increasing international debate

8

What is the idea?

• Necessary to move beyond a focus on tobacco

control (and its subsequent assumptions that tobacco is here to stay and that regulating the time, place and manner of its use is the policy objective) toward one focused on how to actually reach a tobacco-free future.

• Even if smoking uptake entirely ceased and

cessation increased beyond any targets reached to date, there would still be several decades of high costs due to smoking. Without additional measures, these costs and the preventable suffering they represent will extend even further into the future.

NE trajectory based on 2005- 2011 experience- endorsed by Partnership as strategic aim- 5% by 2025

0% 5% 10% 15% 20% 25% 30% 35%

Exciting developments with NE involvement

Cancer Research UK ASH- ten year strategy

• development. Big idea….

Polluter pays principle

• Funding threats at local, regional and national level
• Funding for resource intensive measures e.g. mass

media, already been cut

• TI is the disease vector
• TI should pay
• In line with CRUK endgame report
• Enables ambitious TC strategy going forward
• ASH 20th October event, Leeds – is Stockton going?
• Floated as idea at labour party conference this

week- more discussions underway

The NE public are up for this….

• Is enough being done to tackle the harm of smoking?
• Despite claims from the tobacco lobby about the “nanny state”, a

clear majority of people in the North East believe the government is not doing enough or has got tobacco policy about right. YouGov 2014.

• Nearly half of adults (43%) believe not enough is being done and

another 32% saying the Government is doing about right

• Only 12% of adults in the North East think the Government is doing too

much compared to 22% in 2011

• Even amongst smokers in England fewer than half (35%) believe that

the government is doing too much

“Without an explicit engagement with the idea that an

endgame for tobacco is possible, such an outcome cannot be achieved.”

Key recommendation from CRUK report

Key summary points from Partnership, HWB Chairs Forum, Elected Mayors/Leaders, Association of Directors Adults//Children's Services, Directors of Public Health Forum

• North East to build on its passion, vision and drive and use its

influence

• Support from all 12 localities to this 5% aim- not to detract from

specific local visions, complimentary, not about performance targets

• HWB sign up so far: Gateshead, Hartlepool, Sunderland, Stockton.
• Have region wide commitment ready ASAP but definitely ahead of GE

campaigning– NE influencing

• NE to support ASH and CRUK discussions
• Keep strategic big picture and not get negatively distracted by

developments like nicotine vapourisers and other nicotine containing

• products. As part of harm reduction strategy could have real potential

to help in our overall aim to reduce harm and deaths and disease from tobacco- but with tighter and proportionate regulation around them.

Case study

Gramsci “The revolutionary must be able to combine pessimism of the intellect with

• ptimism of the will.”

We need you to be the optimists. We’ve come along way in last ten years. We can and should go a lot further. Will you support this regional vision?