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

14.6 14.2 13.7 13.3 12.9 12.2 11.7 11 10.7 10.8 10.6 10.4 8.2 6 10.1 9.7

2 4 6 8 10 12 14 16

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 %

Smoking at Time of Delivery Rate, England (%)

Projected rate of decline Decline needed to meet 6% target by 2022

SMOKING IN PREGNANCY

• 2.0

4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.0

North West London Health and Care Partnership South West London Health and Care Partnership East L

• ndon Health and Care Partnership

Our Healthier South East London North London Partners in Health and Care Frimley Health Buckinghamshire, Oxfordshire and Berkshire West Surrey Heartlands Hertfordshire and West Essex Bedfordshire, Luton and Milton Keynes Mid and South Essex Sussex and East Surrey Bristol, North Somerset and South Gloucestershire Bath and North East Somerset, Swindon and Wiltshire Suffolk and North East Essex Leicester, Leicestershire and Rutland Birmingham and Solihull Dorset Coventry and Warwickshire Gloucestershire Hampshire and the Isle of Wight Greater Manchester Health and Social Care P artnership Cambridgeshire and P eterborough Somerset Devon Cheshire and Merseyside Herefordshire and Worcestershire Shropshire and Telford and Wrekin West Yorkshire and Harrogate (Health and Care Partnership) Staffordshire and Stoke on Trent The Black Country and West Birmingham Joined Up Care Derbyshire Healthier Lancashire and South Cumbria Kent and Medway Northamptonshire Cornwall and the Isles of Scilly South Yorkshire and Bassetlaw Norfolk and Waveney Health and Care Partnership Nottingham and Nottinghamshire Health and Care Cumbria and North East Lincolnshire Humber, Coast and Vale

2019/20 SATOD rate by STP

London STPs 6% by 2022 target

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

6.0% 6.3% 9.7% 28.3% 49.8% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Strongly agree Agree Neither agree or disagree Disagree Strongly disagree

To what extent do you agree with the following statement? Extending smoke-free public places is a good idea.

• Manchester. n=7049

OTHER EVIDENCE-BASED INTERVENTIONS

• Mass media
• Stop smoking support

Stop smoking services are highly effective, as over 15 years of research in England illustrates. They increase quit rates by four fold compared to no support, reduce inequalities and are highly cost effective. However…. Local authority spending on stop smoking services and tobacco control in England fell by 36% from £135.9m in 2014 to £87.3m in 2019

2 4 6 8 10 12 14 16 18 20

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

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.

Thank you – Linda.Bauld@ed.ac.uk @LindaBauld