Local tobacco control and stop smoking services

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Cancer Research UK want to see all smokers provided with evidence-based support to help them quit smoking.

This map presents a snapshot of the tobacco control work undertaken in 2018 by the local authorities in England that have responsibility for public health: metropolitan boroughs, London boroughs, unitary authorities and county councils.

This map illustrates the increasing differences between local authorities in the services they provide for smokers and the investment they make in tobacco control as a whole. The universal offer to smokers of a specialist stop smoking service has gone: where you live now makes a big difference to the services and support you can access.

The information on services comes from a survey of local authority tobacco control leads conducted in August and September 2018 by Action on Smoking and Health. The survey was supplemented by additional telephone and web research to obtain 100% coverage. For further information on these changes, see the report published by Action on Smoking and Health and Cancer Research UK in February 2019; A Changing Landscape: Stop smoking services and tobacco control in England.

The information on adult smoking prevalence was taking from the Office of National Statistics Annual Population Survey (2018), and smoking prevalence for pregnant women taken from the NHS Digital smoking at the time of delivery (2018) data.

The information on spending is taken from the official returns published by the Ministry of Housing, Communities and Local Government in 2018. The information on the local cost of smoking comes from the ASH Ready Reckoner tool.

This map is necessarily a simplification. For example, many local authorities undertake extensive wider tobacco control work despite having limited or nil public health budgets for this work. It is also a snapshot and may be out of date in some areas, given how quickly services are changing.

For feedback or corrections please contact admin@smokefreeaction.org.uk

Notes and sources

Locator pin is based on longitude and latitude on ONS Counties and Unitary Authorities Full Extent Boundaries (December 2017). Location areas are planned for the next version.

Information correct as November 2018.

Map created by Cancer Research UK using data provided by ASH.

[1] Office of National Statistics. Annual Population Survey. 2018.

[2] NHS Digital. Smoking at time of delivery England. 2018. Note that data for Rutland and Leicestershire, and for City of London and Hackney is a combined fingure but shown for each LA.

[3] Action on Smoking and Health. Ready Reckoner tool. 2018.

[4] Action on Smoking and Health and Cancer Research UK. A changing landscape; Stop smoking services and tobacco control in England. 2019.

[5] Ministry of Housing, Communities and Local Government (MHCLG) 2017/18 local authority spending outturns and Public Health England tobacco control profiles.

[6] MHCLG 2018/19 local authority budgets. MHCLG data does not include spending by the NHS, for example where the local Clinical Commissioning Group pays for stop smoking treatments. In such cases, figures for spending per resident smoker included in the map will not represent the total amount spent per resident smoker in the locality.

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