remain a priority Martin Dockrell Director of Policy and Research - - PowerPoint PPT Presentation

Why tobacco control must remain a priority

Martin Dockrell

Director of Policy and Research

Falling, but too slowly?

Cigarette smoking prevalence 1972 - 2010 10 20 30 40 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Men Women Overall

The North West’s £2bn habit

Estimated cost of smoking in the North West (£millions) £597 million £422.9 million £393.8 million £364.6 million £103 million £73.9 million £49.9 million

100 200 300 400 500 600 700

Smoking litter Domestic fires Passive smoking* Sick days NHS care Smoking breaks Output lost from early death *Passive smoking: lost productivity from early death (not including NHS costs and absenteeism)

…doubled when you include the cost to smokers

£2,200m £2,000m

500 1,000 1,500 2,000 2,500

Total costs to society Smokers' spending

• n tobacco

North West

Estimated cost to smokers and society in the North West (£millions)

A burden on employers

Cost to the NW employers in £millions

597 442.9 364.5

100 200 300 400 500 600 700

Lost output Smoking breaks Sick days

A burden across the region

Cost in £millions

137 95.1 79.2 75.1 66.7 55.1 48.2 45.9 36 147.5 102.2 85.2 80.7 71.6 59.2 51.8 49.4 38.7

20 40 60 80 100 120 140 160

Liverpool Wirral Cheshire East Cheshire W. & Chester Sefton Knowsley St Helens Warrington Halton

Cost to smokers Cost to society

An unequal burden

Cigarette smoking in Great Britain by Deprivation 72 57 52 46 42 12 20 32 46 55

10 20 30 40 50 60 70 80 1 2 3 4

1973 2009

More unequal, more burdensome

Smoking in pregnancy in England 2010 by SEG

14 4 26 10 40 20

10 20 30 40 50 60 2010 (before or during) 2010 (throughout) M & P Intermediate R & M

More unequal, more burdensome

Smoking in pregnancy in England 2005 & 2010 by SEG

19 7 14 4 30 12 26 10 48 29 40 20

10 20 30 40 50 60 2005 (before or during) 2005 (throughout) 2010 (before or during) 2010 (throughout) M & P Intermediate R & M

More unequal, more burdensome

Smoking in pregnancy in England 2010 by Age

36 58

21 44 11 26 6 17 6 9

10 20 30 40 50 60 70 2010 (before or during) 2010 (throughout) Under 20 20-24 25-29 30-34 35+

Smoking in pregnancy by region

21.1% 16.9% 15.9% 15.6% 13.5% 13.3% 12.8% 11.0% 6.3% 17.7%

0% 5% 10% 15% 20% 25%

North East North West Yorkshire & Humber West Midlands East Midlands South West East of England South East Coast South Central London

£82.7m £73m

10 20 30 40 50 60 70 80 90 Total costs to society Smokers' spending on tobacco

Millions (£)

Estimated cost to smokers and society in Hackney (£ millions)

Making the local case

Toolkit provides:

• Template slide sets to

tailor with local level data

• “Reckoner” on local costs
• f smoking
• Opinion data on local

public support

• Councillor briefings co-

branded with LGA & FPH Ash.org.uk/localtoolkit

Making the case briefly

Pushing back

• n secondhand smoke

82% of homes in the North West are smokefree 51% of smokers live in smokefree homes 84% of adults in the North West believe smoking in cars should be banned 22% of smokers believe smoke has little or no effect on a child’s health

Pushing back

• n tobacco marketing

62% of adults in the North West support plain packaging 10% oppose For every 5 smokers who oppose plain packs 6 are in favour

Plain packs The writing is on the wall

“expect plain packaging to spread to France the UK and beyond” “we think plain packs will survive litigation” “Imperial is most exposed… this would represent 33% of Imperial’s profits”

Pushing back With comprehensive local action

• Protecting health policy

from the tobacco industry

• Pension funds and tobacco

companies

• A balanced local strategy
• Harmonising local priorities

and national guidance

Pushing back With comprehensive local action

• Self assessment a pause for

structured reflection

• Peer assessment adds rigour

and provides external validation

• Equal validity to “home” and

“away” assessment scores

• Assessment report identifies

improvement, clearly, briefly and with impact.

“The CLeaR approach – bottom up, peer led and evidence-based – seems to me to be exactly right and we know it works. Everything is in place to make a flying start and for you to track your progress over these next crucial years. Many Councils all around the country have already signed up to the CLeaR standard since it was launched in May this year and I encourage everyone to do the same.”

www.ash.org.uk/clear

“The CLeaR approach – bottom up, peer led and evidence-based – seems to me to be exactly right and we know it works. Everything is in place to make a flying start and for you to track your progress over these next crucial years. Many Councils all around the country have already signed up to the CLeaR standard since it was launched in May this year and I encourage everyone to do the same.”

Duncan Selbie Chief Executive, Public Health England

www.ash.org.uk/clear

• www.ash.org.uk/clear
• www.ash.org.uk/localtoolkit
• Martin.dockrell@ash.org.uk