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Public Health and Localism Panel

A Tobacco Control Strategic Plan 2013-16

Michelle Constable & Stephen Pinel

Assistant Manager / Business Manager

January 2014

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Setting the scene • 170,000 smokers in Hertfordshire (19.4%)

• One in two adults dying prematurely from smoking related illness = 1500 residents per year

• For every smoking related death, 20 people are suffering from a smoking-related disease

• Smoking accounts for 50% of the difference in life expectancy between the richest and poorest; the health inequalities gap is widening!

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Health & Wellbeing Strategy 2013-16• Reducing the harm caused by alcohol

• Reducing the harm caused from tobacco

• Increasing physical activity & promoting a healthy weight

• Fulfilling lives for people with learning disabilities

• Living well with dementia

• Enhancing quality of life for people with LT conditions

• Supporting carers to care

• Helping all families to thrive

• Improving mental health and emotional wellbeing

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Reducing the harm caused from tobacco1. Reduce smoking in every district to 18.5% or less by

2016

2. Reduce smoking in young people, so that less than 9% of 15 year old smoke by 2016

3. Reduce smoking in pregnancy so that less than 7% of pregnant women smoke throughout their pregnancy by the end of 2016

4. Roll out a county–wide smoke free cars and home scheme

5. All public sector workplaces are completely smoke free including grounds by 2016

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1. Reduce smoking in every district by 18.5% or less by 2016

• 7 of the 10 have smoking levels above the 18.5% ambition*

• Four localities require sustained investment and resources(Stevenage: 27.6%, Welwyn Hatfield: 23.6%, Three Rivers: 22.3% & Broxbourne 21.5%)

→ Local Action Groups (Key Partners)

→ Tobacco Control Enforcement

→ Smoking Cessation

→ Drugs and Alcohol

*Public Health England (2013) Local Tobacco Control Profiles for England.

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2. Reduce smoking in young people, so that less than 9% of 15 year olds smoke by 2016

• Under-age smoking and access to tobacco

• Preventing the uptake

– Dispelling myths

– Youth projects

• Smoking and Young People

– Standardised packaging

– Smoking cessation (Yeah Butt)

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3. Reduce smoking in pregnancy so that less than 7% of pregnant women smoke throughout

their pregnancy by the end of 2016

• Risks and Impact: Smoking is the single most modifiable risk factor for adverse outcomes in pregnancy→ 14,500 deliveries in Herts in 2014→ 10% smokers (1,450 residents)→ 29% in lower socio-economic groups→ 45% in mothers under 20

• Maternity Services

• CCG commissioning mechanisms

• Smoking in Pregnancy Specialist

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4. To protect young people from second hand smoke by rolling out a smoke free cars and

homes scheme• Dangers of second-hand smoke

→ 2 million children exposed in the UK→ 3x risk of lung cancer→ Increased risk of respiratory infection

• Current legislation

• Smokebusters

• Pledges

• Partnerships i.e. Fire and Rescue

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5. All public sector workplaces are completely smoke free including grounds by 2016

• Cost to Hertfordshire employers*→ £50.5 million on smoking related sickness

→ £58.6 million lost productivity (breaks)

• Building on smoke free legislation

• Public Health Responsibility Deal

• HCC tobacco policy: Exemplar organisation

• Hertfordshire Workplace Offer

*ASH toolkit (2012) http://ash.org.uk/localtoolkit/docs/Reckoner.xls

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• Communications→ National campaigns such as Stoptober→ Social Marketing

• Positive examples of good practice → CLeaR: Excellence in tobacco control

• Alternative forms of tobacco & nicotine use → Niche products→ Electronic Cigarettes

Tobacco Control Strategic Plan cont.

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thank you