Public Health and Localism Panel A Tobacco Control Strategic Plan Michelle Constable & Stephen Pinel Assistant Manager / Business Manager January 2014

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!

Health & Wellbeing Strategy 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

Reducing the harm caused from tobacco 1.Reduce smoking in every district to 18.5% or less by Reduce smoking in young people, so that less than 9% of 15 year old smoke by Reduce smoking in pregnancy so that less than 7% of pregnant women smoke throughout their pregnancy by the end of Roll out a county–wide smoke free cars and home scheme 5.All public sector workplaces are completely smoke free including grounds by 2016

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

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)

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

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

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)

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.

thank you