1. A Smoke Free future in Worcestershire Dr Richard Harling, Director of Public Health, Worcestershire Tobacco Control Alliance Conference 10 May 2010

2. Contents Tobacco related harm in Worcestershire The economic case for action – a health service perspective Total Place and the role of partnerships

3. Tobacco related harm in Worcestershire Health: >800 deaths annually 4,500 hospital admissions Total cost £27m to NHS every year Plus costs to wider society in the order of: £29m in reduced productivity £29m for sick leave £48m benefits and reduced output due to disability and early death £5m for smoking related fires £3m for waste disposal

4. AreaDASRSignificance Tier 1 Hotspots176.6Higher Tier 2 Hotspots121.2Higher All Hotspots143.4Higher Non Hotspot64.7Lower Worcestershire69.6 Circulatory disease mortality by ‘Hotspot’

5. The economic case for action: QIPPPP

6. Total Place and the role of partnerships HINST – what we do well: Well established TCA with good representation from partners Trading standards – action to tackle underage sales Customs – reducing availability of smuggled tobacco NHS – smoking cessation services Fire – smoke free homes Childrens’ services – education for children and parents Businesses – promoting smoke free workforce Local members – advocacy Understand where the biggest problems are Targeted social marketing campaigns Quit Smoking tariff

7. Total Place and the role of partnerships HINST – things to work on : Strengthen leadership and governance of TCA Smoking among 11–15 year-olds < 1% Increase Quit Smoking rate Smoking in adults <10% Halve smoking rates for routine & manual workers and pregnant women Smoke free homes >2/3 Consistent clear messages from all partners Brief interventions and referral pathways for all frontline staff Increase range and diversity of Quit Smoking providers Target patients with pre-existing disease Innovate, evaluate and build

8. A Smoke Free future in Worcestershire Dr Richard Harling, Director of Public Health, Worcestershire Tobacco Control Alliance Conference 10 May 2010