Fresh presentation for Darlington Health and Wellbeing Board **5% by 2025 regional vision** 14 th October 2014 Ailsa Rutter
Summary • Good progress made • Key elements to progress so far • A long way to go- reminder of the reality • Increasing discussions around the world around ending the tobacco epidemic • The Partnership’s vision • The public’s support • Stockton’s support for this vision
Reflections on progress to date • NE largest regional adult decline 2005- 2011 • 30% fewer smokers • 11-15 year olds regular smokers 6% -all time low • Looking back at 2005 • Looking back even earlier- end of WW2
How did we get there? Working together collaboratively Working at regional and local as well as national level Developing a unified strategy Being comprehensive- eight key strands Promoting evidence-based arguments Proactive and reactive media work Building positive public opinion Building cross-party political support Working together- everyone’s business Noting it’s taken a long time on journey so far - 1962 RCP report on smoking and health But still a long way to go…. 15 a day 1 in 2 Health inequalities impact
Children not adults start smoking • 90% of smokers started before the age of 19 • Children are three times as likely to start smoking if their parents smoke • 99% of 16 year old regular smokers live in a household with at least one other smoker • Each year 200,000 children start to smoke • The biggest influence on children smoking is adult smoking- need to change the adult world- through comprehensive approach 5
Smoking - not social status – is the greatest cause of health inequalities Smokers from the highest social class have a lower life expectancy than non-smokers in the lowest social class 3.50 3.00 Relative mortality 2.50 The life expectancy 2.00 between rich and Richer smokers poor smokers is 1.50 have a lower life similar expectancy than 1.00 poorer non- smokers 0.50 0.00 I+II IV+V Social Class Highest Lowest Male non-smokers Male smokers 6
Discussions at Making Smoking History in the North East Partnership Vision: The Partnership exists to work collectively towards the long term aim to ‘Make smoking history for the North East’ where tobacco smoking ultimately becomes a thing of the past. Increasing discussions over last two years within the region
Increasing international debate 8
What is the idea? • Necessary to move beyond a focus on tobacco control (and its subsequent assumptions that tobacco is here to stay and that regulating the time, place and manner of its use is the policy objective) toward one focused on how to actually reach a tobacco-free future. • Even if smoking uptake entirely ceased and cessation increased beyond any targets reached to date, there would still be several decades of high costs due to smoking. Without additional measures, these costs and the preventable suffering they represent will extend even further into the future.
NE trajectory based on 2005- 2011 experience- endorsed by Partnership as strategic aim- 5% by 2025 35% 30% 25% 20% 15% 10% 5% 0%
Exciting developments with NE involvement ASH- ten year strategy Cancer Research UK development. Big idea….
Polluter pays principle • Funding threats at local, regional and national level • Funding for resource intensive measures e.g. mass media, already been cut • TI is the disease vector • TI should pay • In line with CRUK endgame report • Enables ambitious TC strategy going forward • ASH 20 th October event, Leeds – is Stockton going? • Floated as idea at labour party conference this week- more discussions underway
The NE public are up for this…. • Is enough being done to tackle the harm of smoking? Despite claims from the tobacco lobby about the “nanny state”, a • clear majority of people in the North East believe the government is not doing enough or has got tobacco policy about right. YouGov 2014. • Nearly half of adults (43%) believe not enough is being done and another 32% saying the Government is doing about right • Only 12% of adults in the North East think the Government is doing too much compared to 22% in 2011 • Even amongst smokers in England fewer than half (35%) believe that the government is doing too much
Key recommendation from CRUK report “ Without an explicit engagement with the idea that an endgame for tobacco is possible, such an outcome cannot be achieved.”
Key summary points from Partnership, HWB Chairs Forum, Elected Mayors/Leaders, Association of Directors Adults//Children's Services, Directors of Public Health Forum • North East to build on its passion, vision and drive and use its influence • Support from all 12 localities to this 5% aim- not to detract from specific local visions, complimentary, not about performance targets • HWB sign up so far: Gateshead, Hartlepool, Sunderland, Stockton. • Have region wide commitment ready ASAP but definitely ahead of GE campaigning – NE influencing • NE to support ASH and CRUK discussions • Keep strategic big picture and not get negatively distracted by developments like nicotine vapourisers and other nicotine containing products. As part of harm reduction strategy could have real potential to help in our overall aim to reduce harm and deaths and disease from tobacco- but with tighter and proportionate regulation around them.
Case study
Gramsci “The revolutionary must be able to combine pessimism of the intellect with optimism of the will.” We need you to be the optimists. We’ve come along way in last ten years. We can and should go a lot further. Will you support this regional vision?
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