POLICES NEEDED TO ACHIEVE A SMOKEFREE 2030 APPG on Smoking and - PowerPoint PPT Presentation

POLICES NEEDED TO ACHIEVE A SMOKEFREE 2030 APPG on Smoking and Health Roundtable, July 22 2020

ABOUT SPECTRUM • Consortium (success to the UK Centre for Tobacco and Alcohol Studies) involving 10 Universities and partner organisations and alliances, including the main public health agencies in the UK and the Smokefree Action Coalition • Funded by the UK Prevention Partnership • Aiming to examine policy interventions operating at the population level to understand their system-level impacts on markets, producers, social practices and institutions. • Develop and facilitate political and public support in addition to evidence generation to enable policy change. • Understand how unhealthy commodity producers influence the implementation (or not) or effective public health policies.

OUTLINE • Progress to date – adults and children • Smoking in pregnancy • Achieving the Smokefree 2030 Ambition: • Low cost policy interventions • Other evidence-based interventions • Importance of polluter pays

ADULT SMOKING PREVALENCE Source: Office for National Statistics Adult Population Survey 2019

SMOKING PREVALENCE BY AGE Largest fall has been among 18-24 year olds, people aged 25-34 continue to have the highest smoking rates

SMOKING IN PREGNANCY Smoking at Time of Delivery Rate, England (%) 16 14.6 14.2 Projected rate of 13.7 13.3 14 12.9 decline 12.2 11.7 12 11 10.8 10.7 10.6 10.4 10.1 9.7 10 8 % 8.2 Decline needed to meet 6% target 6 6 by 2022 4 2 0 2008/9 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/21 2021/22

2019/20 SATOD rate by STP Humber, Coast and Vale Lincolnshire Cumbria and North East Nottingham and Nottinghamshire Health and Care Norfolk and Waveney Health and Care Partnership South Yorkshire and Bassetlaw Cornwall and the Isles of Scilly Northamptonshire Kent and Medway Healthier Lancashire and South Cumbria Joined Up Care Derbyshire The Black Country and West Birmingham Staffordshire and Stoke on Trent West Yorkshire and Harrogate (Health and Care Partnership) Shropshire and Telford and Wrekin Herefordshire and Worcestershire Cheshire and Merseyside Devon Somerset Cambridgeshire and P eterborough Greater Manchester Health and Social Care P artnership Hampshire and the Isle of Wight Gloucestershire Coventry and Warwickshire Dorset Birmingham and Solihull Leicester, Leicestershire and Rutland Suffolk and North East Essex Bath and North East Somerset, Swindon and Wiltshire Bristol, North Somerset and South Gloucestershire Sussex and East Surrey Mid and South Essex Bedfordshire, Luton and Milton Keynes Hertfordshire and West Essex Surrey Heartlands Buckinghamshire, Oxfordshire and Berkshire West Frimley Health North London Partners in Health and Care 6% by 2022 target Our Healthier South East London London STPs East L ondon Health and Care Partnership South West London Health and Care Partnership North West London Health and Care Partnership - 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.0

ACHIEVING SMOKEFREE 2030 LOW COST POLICY INTERVENTIONS Pack inserts Raising the age of sale • Almost all smokers (95%) begin smoking before they turn 21. • Increasing the age of sale for the legal purchase of tobacco in 2007 from 16 to 18 was associated with reductions in regular smoking among youth in England and had a similar impact on different socio-economic groups. • Age 18-21 is a critical period when many smokers move from experimental smoking to regular daily use. • Increasing the age of sale to 21 is supported by 62% of the British public with only 15% opposing it.

LOW COST POLICY INTERVENTIONS Extending the ban on menthol Strengthening smokefree legislation 100% Strongly agree 90% Agree Neither agree or 80% disagree 49.8% Disagree 70% Strongly disagree 60% To what extent do you agree 50% with the following statement? Extending smoke-free public 40% places is a good idea. 28.3% Manchester. n=7049 30% 20% 9.7% 10% 6.3% 6.0% 0%

OTHER EVIDENCE-BASED INTERVENTIONS • Mass media • Stop smoking support Stop smoking services are highly effective, as over 15 20 18 years of research in England illustrates. They increase 16 quit rates by four fold compared to no support, reduce 14 inequalities and are highly cost effective. 12 10 However…. 8 6 4 Local authority spending on stop smoking services and 2 tobacco control in England fell by 36% from £135.9m in 0 2014 to £87.3m in 2019 Q1-05 Q2-05 Q3-05 Q4-05 Q1-06 Q2-06 Q3-06 Q4-06 Q1-07 Q2-07 Q3-07 Q4-07 Q1-08 Q2-08 Q3-08 Q4-08 Q1-09 Q2-09 Q3-09 COI spend (millions) Calls to helpline Quarterly spend by the Central Office of Information on tobacco campaigns correlates with the number of calls to NHS helpline: R=0.70, p=0.002 adjusting for quarter, yearly increase and Smoke-Free

OTHER EVIDENCE-BASED INTERVENTIONS Systems approach + incentives Funding enforcement at local level to: • prevent underage sales and tackle smuggling • The National Audit Office estimates that there was a 56% fall in full-time equivalent trading standards staff in 7 years. Types of premises that generate the most illegal tobacco sales 2018/19 Source: Chartered trading standards institute, 2020

VALUE OF REGIONAL WORKING

POLLUTER PAYS

Thank you – Linda.Bauld@ed.ac.uk @LindaBauld This work is supported by the UK Prevention Research Partnership (MR/S037519/1), which is funded by the British Heart Foundation, Cancer Research UK, Chief Scientist Office of the Scottish Government Health and Social Care Directorates, Engineering and Physical Sciences Research Council, Economic and Social Research Council, Health and Social Care Research and Development Division (Welsh Government), Medical Research Council, National Institute for Health Research, Natural Environment Research Council, Public Health Agency (Northern Ireland), The Health Foundation and the Wellcome Trust.