Nottinghamshire Insight

Joint strategic needs assessment

Tobacco (2014)

This is an online synopsis of the topic which shows the executive summary and key contacts sections. To view the full document, please download it.

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Topic title Tobacco (2014)
Topic owner Nottinghamshire Strategic Tobacco Alliance group (STAG)
Topic author(s) Jo Marshall and Lucy Ball
Topic quality reviewed 12th June 2014
Topic endorsed by Nottinghamshire Strategic Tobacco Alliance group (STAG)
Topic approved by Approved by HWIG 17th September 2014
Current version 11th February 2015
Replaces version 17th December 2014
Linked JSNA topics

Executive summary


Tobacco use remains one of the most significant public health challenges.  Smoking causes more deaths each year than any other preventable cause:

  • Smoking; 79,700 deaths (Health & Social Care Information Centre (HSCIC),2013, published 2014)
  • Obesity; 34,100 deaths (HSCIC, 2013, published 2014)
  • Alcohol; 21,485 deaths (Local Alcohol Profiles for England (LAPE), 2012, published 2014).

The percentage of people who smoke across Nottinghamshire County is 18.4%, in line with the England average. This figure masks differences across the county with 11.3% of the population of Rushcliffe smoking whilst this figure is 25.8% for the population of Mansfield (for the most up-to-date data visit: Local Tobacco Control Profiles)

Amongst certain groups, smoking prevalence is also higher.  For example, both nationally and locally routine and manual workers have a higher smoking prevalence at 28.6% and 29.5% respectively.  Smoking rates amongst this group also vary across the county.

Smoking is responsible for around 1,300 deaths across Nottinghamshire County every year (HSCIC, 2013).  The main causes of death are;

  • cardiovascular disease
  • cancers
  • respiratory disease

Smoking is the single biggest cause of inequalities in death rates and life expectancy between the richest and poorest in our communities. On average in Nottinghamshire County this difference in life expectancy is 8.5 years and tobacco contributes to half of this difference.

Unmet needs and gaps

Stopping smoking

We know that:

  • Approximately 70% of smokers want to stop smoking
  • 6% of smokers access local stop smoking services annually 
  • 50% of these smokers are successful at stopping smoking at 4 weeks
  • Variations exist in accessing support and stopping smoking based on personal characteristics e.g. where you live, how old you are, your employment status. 

We need to:

  • Provide services that are individualised for smokers and what they need
  • Prioritise particular groups where smoking rates are higher and make services fit around smokers’ lives and routines in locations that are accessible

Preventing uptake of smoking

We know that:

  • Approximately 65% of long term smokers start before the age of 18. 
  • Smoking is largely an addiction started in childhood.

We need to:

  • Stop young people from starting to smoke in the first place,
  • Use the evidence we have on what works for example evidence based education/awareness programmes and campaigns that de-normalise smoking

Reducing harm from tobacco use

We know that:

  • Illegal tobacco undermines all tobacco control efforts in bringing crime in to local communities and making cheap tobacco available to children. 
  • In Nottinghamshire 30,000 children up to the age of 15 live in a household that is not smokefree
  • Tobacco use affects all in the community

We need to:

  • Tackle the supply and demand of illegal tobacco in our communities through close working with trading standards and HMRC.
  • Raise awareness of tobacco control beyond health-related organisations
  • Work in partnership with other agencies and departments, including: fire and rescue; housing; social care; and Human Resources (HR), to identify and implement tobacco control measures.

How will we do this?

Tobacco Control is an evidence-based approach to tackling the harm caused by smoking. It includes strategies that reduce the demand for, and supply of, tobacco in communities through;

  • Stopping the promotion of tobacco
  • Making tobacco less affordable
  • Effective regulation of tobacco products
  • Helping tobacco users to quit
  • Reducing exposure to secondhand smoke
  • Effective communication for tobacco control

We will review services to ensure that they optimise the chances of quitting for individuals, reduce the numbers of young people starting to smoke and work with partners to reduce the harm caused by tobacco to the population of Nottinghamshire County.

Recommendations for consideration by commissioners

The Public Health White Paper Healthy Lives, Healthy People: Our strategy for public health in England (Department of Health, 2010) and the independent review into health inequalities in England “Fair Society, Healthy Lives” (2010), identified Tobacco Control as being central to any strategy to tackle health inequalities as smoking-related death rates are two to three times higher in low-income groups than in wealthier social groups.

The Department of Health (2011) Healthy Lives Healthy People: A Tobacco Control Plan for England highlights the commitment to maximise efforts to reduce tobacco use and builds on the achievements in tobacco control made over many decades. It sets out a comprehensive package of evidence-based action at a national and local level to drive down rates and impacts of tobacco use.

This current strategy ends in 2015 and will be replaced by a new strategy, Smoking Still Kills, which will be published June 2015.

Other relevant links with the JSNA are to sections on Maternities and Pregnancy, Cancer, Cardiovascular Disease, Chronic Obstructive Pulmonary Disease (COPD) and Stroke.

Key contacts

The Nottinghamshire Strategic Tobacco Alliance Group (STAG)

Tobacco leads

Policy Lead - Lindsay Price

Policy team member - Jo Marshall

Trading Standards

Sarah Ridley


Robin Smith

Smokefree notts website:

This is an online synopsis of the topic which shows the executive summary and key contacts sections. To view the full document, please download it.

Full report »