Local tobacco control and stop smoking services

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Cancer Research UK and Action on Smoking and Health (ASH), alongside other stakeholders from across the UK interested in improving the health of our population, 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. Data was updated in May 2019 to reflect recent changes to stop smoking services.

This map illustrates the increasing differences between local authorities in England 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.

Please note that at this time data is not available on a local level in Scotland, Wales and Northern Ireland.

The baseline information on services comes from a survey of local authority tobacco control leads in England conducted in August and September 2018 by Action on Smoking and Health (ASH). The data was updated in May 2019 to reflect recent service changes. The original survey was supplemented by additional telephone and web research to obtain 100% coverage. For further information on these changes, see the report published by ASH 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 for National Statistics Annual Population Survey (2019), and smoking prevalence for pregnant women taken from the NHS Digital smoking at the time of delivery (2018) data, updated in July 2019. These data were sourced from Public Health England Local Tobacco Control Profiles.

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 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 It is also a snapshot and may be out of date in some areas, given how quickly services are changing.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 information on how to stop smoking, and how to find your local Stop Smoking Service for support, please visit How do I stop smoking?

Notes and sources

Map created by Cancer Research UK using data provided by Action on Smoking and Health (ASH).

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.

Data were collected in August and September 2018 and updated in May 2019 to reflect recent service changes.

Please note local authority stop smoking services are generally limited to people living within the local authority catchment area.

Unless specified below, data for Bournemouth Borough Council and Poole Borough Council are for the period prior to the merger on 1 April 2019.

[1] Office of National Statistics. Annual Population Survey. 2019. Data are sourced from Public Health England Local Tobacco Control Profiles. Data for Cornwall and Isle of Scilly, and Poole and Bournemouth are combined and shown for each local authority, respectively.

[2] NHS Digital. Smoking at time of delivery England. 2018. Data are sourced from Public Health England Local Tobacco Control ProfilesNote that data for Rutland and Leicestershire, City of London and Hackney, Cornwall and Isle of Scilly, and Poole and Bournemouth are combined figures and shown for each local authority, respectively.

[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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