Comprehensive local tobacco control: why invest?

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Smoking in England 19% of adults in England smoke – over 8 million people Smoking is concentrated in the more disadvantaged groups Two thirds of smokers start before age 18 1 in 2 long-term smokers dies from a smokingrelated illness

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Smoking harms nearly every organ of the body Cancer of the throat, larynx, oesophagus

Stroke Dementia

Cardiovascular disease Coronary heart disease

Lung cancer

Chronic obstructive pulmonary disease Type 2 diabetes

Cancer of the bladder, pancreas, stomach, kidney

Harm to unborn babies

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Smoking is the largest cause of premature death Alcohol 21,485 Drug misuse 1,812

Smoking 79,100

Obesity 34,100

Suicide 4,507

HIV 488 4

Secondhand smoke harms other people Stroke Middle ear infections Respiratory disease Coronary heart disease

Respiratory disease

Asthma attacks Sudden Infant Death Syndrome (cot death)

Reproductive Lung cancer

women – low birth weight

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Smoking harms families and communities

Smoking is the main contributor to health inequalities

Spending on tobacco contributes to child poverty

Illicit tobacco fuels crime and disrupts community safety

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The annual cost of smoking-related harm Total cost to society

£13.1bn

Cost to NHS

£2.2bn Lost productivity

£9bn

Cost to social care

£1.1bn

£610m

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Our ambition for England A tobacco-free generation

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1234 The challenge: what needs to be done

Improve awareness of tobacco harm regulation and among young enforcement people and delay the

Provide support to help people quit

Reduce the harm for those who are not ready to stop in one step

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National-level interventions N E W S AG E N T S

Reduced

Packaging and promotion

Regulation: Mass media 1. retail display campaigns 2. proxy purchasing 3. smoking in cars carrying children

PHE evidence and advice for local areas

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CLeaR: a balanced local tobacco control system Vision leadership WHO FCTC Your local vision

Planning and commissioning

Supra-local cross-agency and partnership

Your local priorities Cessation prevention

Prevalance

Your innovation and learning Compliance

Communication and denormalisation

Your outcomes

Quit rate

Local priorities

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Partnership: the key to success CCGs: analyse, coordinate, commission HEALTH & WELLBEING BOARDS: plan, co-ordinate strategy PUBLIC HEALTH: analyse, coordinate, commission LOCAL AUTHORITIES: analyse, coordinate, strategize ELECTED MEMBERS: direct, oversee, scrutinise

PRIMARY CARE: identify, advise, HOSPITALS: refer, treat identify, respond, refer

STOP SMOKING SERVICES: assess, treat

MENTAL HEALTH: identify, refer, treat

CHILDREN AND FAMILY SERVICES: identify, refer

POLICE: detect, prevent, deter, protect TRADING STANDARDS: monitor, inspect, enforce ENVIRONMENTAL HEALTH monitor, inspect, enforce VOLUNTARY SECTOR: engage, assess, refer WORKPLACES: engage, support, refer

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£1

=

£10

A 20-a-day smoker saves around

£3,000 69,000 a year by quitting

Every £1 spent on smoking cessation saves £10 in future health care costs and health gains

Reducing smoking prevalence by 1 percentage point a year over 10 years would prevent 69,000 premature deaths 13

Better public health outcomes Sickness absence rate

Smoking prevalence – 15 year olds (placeholder)

Children in poverty

Low birth weight of term babies

Smoking prevalence – adult (over 18s)

Smoking status at time of delivery Mortality from causes considered preventable Mortality from all cardiovascular diseases

Preventable sight loss

Mortality from cancer

Excess under 75 mortality in adults with Mortality serious mental from respiratory illness diseases

PHOF indicator domains Improving the wder determinants of health Health improvement Healthcare public health and preventing premature mortality

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Resources JSNA resource pack CLeaR

ASH local toolkit NICE ROI tool

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