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The impact of smoking in your area

The information in this scorecard relates to the Unitary Authority of Barking and Dagenham
Disclaimer: The smoking facts and figures scorecard has been produced by and funded by Pfizer, using data that is available and accessible in the public domain. Accurate at time of production. April 2018.

Creating a Smokefree Generation

Helping smokers to quit is the job of the whole health and care system

We want to see local areas developing their own tobacco control strategies, based on NICE evidence-based guidance

Our vision is nothing less than to create a smokefree generation

Smoking hand

Towards a Smokefree Generation: A Tobacco Control Plan for England.1

Impact of Smoking on Barking and Dagenham

Smoking is a harmful practice, yet thousands of people in the region continue to smoke

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18.7%2

Data from 2016 indicates that 18.7%2 of adults were smokers. This represents approximately 27,575 people.2,3,*

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29.1%

Were routine and manual workers 2,†

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40.2%

Had severe mental illness4

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737

People in Barking and Dagenham died from potentially preventable smoking-related diseases between 2014 and 20165

7,227 smokers have long-term conditions6‡

People who smoke are more likely to have flare ups in their condition and more likely to be admitted to hospital7

Smoking also represents a major financial burden to Barking and Dagenham

ashtray

Up to £46.4m

The estimated wider societal cost of smoking to Barking and Dagenham 8,§

£4.3m

The amount spent in Barking and Dagenham in 2015 / 16 on social care as a result of smoking for adults aged 50 and over 9

£2.3m

was due to approximately 1,568 hospital admissions for smoking-related conditions in 2013/14

£6.2m

The annual smoking-associated cost to the local NHS in Barking and Dagenham8,§

1,345

The number of hospital admissions for smoking-related illness in Barking and Dagenham during 2016-179

£3.9m

The cost of treating smoking-related illness via primary and ambulatory services 8,§

Opportunities to reduce the burden of smoking in Barking and Dagenham

Savings

The National Institute for Health and Care Excellence estimates that for every £1 invested in quit smoking services, £2.37 will be saved on treating smoking related diseases and lost productivity11

9,836

The number of smokers in Barking and Dagenham that would have to quit to achieve this ambition1,2,3,*

Four times as likely to quit

Smokers who use stop smoking services are up to four times as likely to quit successfully as those who choose to quit without help1

60% of smokers

come into contact with their GP once a year.12 Each encounter represents a potential opportunity to offer brief advice to smokers on quitting.

12%

There is an ambition for a 12% national smoking prevalence rate by 20221

Up to £16.6m

The estimated financial savings that could be made in Barking and Dagenham from such a reduction1,2,3,8,†

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Local Investment in Stop Smoking Services

Providing support to help smokers quit is highly cost-effective and local stop smoking services continue to offer smokers the best chance of quitting1

NICE guidance recommends that stop smoking services should aim to support at least 5% of the estimated local population of people who are tobacco dependent each year.12‡‡ At present, Barking and Dagenham supports 4.9% of its smoking population. 2,3,13‡‡

The section below outlines the investment required for Barking and Dagenham to support 5% of smokers and the level of investment in stop smoking services since 2015.

Figures on required future investment is based on data for the local smoking prevalence rate for 2017 (Annual Population Survey) and the cost of services in 2017/18. 2,13

Local Facts

1,346

Smokers in Barking and Dagenham made a quit attempt through their local stop smoking service in 2017/1813

£376k

Was invested in 2017/18 on smoking cessation (total expenditure excluding pharmacotherapies)13

1,379 smokers

5% of the smoking population in Barking and Dagenham2,3 §§

Location smoking icon

NHS Digital data demonstrates that disinvestment in stop smoking services tends to correlate with a decline in the number of quit attempts

2015/162,3,15

4.6%

smokers supported

1,206

smokers supported

Total expenditure^:

£416k

2016/172,3,14

5.6%

smokers supported

1,523

smokers supported

Total expenditure^:

£542k

2017/182,3,13

4.9%

smokers supported

1,346

smokers supported

Total expenditure^:

£376k

Required expenditure to support 5% of the local smoking population in Barking and Dagenham

5%

smokers supported

1,379

smokers supported

Total expenditure^:

£386k

Hands scissors

Total expenditure excluding pharmacotherapy

  • *This figure was calculated by multiplying the adult smoking prevalence percentage from the Annual Population Survey by the total population over 18 from the ONS population estimates for the corresponding year.
  • † Figure relates to APS data for 2017. 
  • ‡ Figure relates to data for the period 2016/17. The definition for long-term conditions is taken from QoF Indicator SMOK005:
  • The percentage of patients with any or any combination of the following conditions: CHD, PAD, stroke or TIA, hypertension, diabetes, COPD, CKD, asthma, schizophrenia, bipolar affective disorder or other psychoses who are recorded as current smokers who have a record of an offer of support and treatment within the preceding 12 months. The figure is an estimation based on the CCGs that fall within the local authority boundary. 
  • §Figures relate to data provided by the ASH Ready Reckoner 2018 covering the period from 2014-2017. 
    Figures relate to data covering the period 2016-17. 
  • ** This figure was calculated by multiplying the ONS over 18 population estimates for 2017 by 12, the percentage target for 2022, and dividing the resulting answer by 100. This number was then subtracted from the current number of smokers in the area to calculate the number that would need to quit. 
  • †† This figure was calculated by multiplying the number of smokers that would need to quit to achieve the 12 per cent prevalence target by the local cost to society per smoker. 
  • ‡‡ This figure was calculated by dividing the number of quit attempts in 2016/17 by the estimated number of adult smokers in the area in 2017. The resulting answer was then multiplied by 100 to give the current percentage of the local smoking population which uses the stop smoking service. In this case, the percentage is higher than the 5 per cent which NICE recommends should be supported.
  • The percentage of smokers supported was calculated by dividing the number of quit attempts through the service in 2015/16 by the estimated number of smokers in the area in 2015. This number was then multiplied by 100. The number of smokers in the locality in 2015 was calculated by multiplying the adult smoking prevalence in 2015 by the total adult population for the area in 2015. This number was then divided by 100.
  • The percentage of smokers supported was calculated by dividing the number of quit attempts in 2016/17 through the service by the estimated number of smokers in the areas in 2016. This number was then multiplied by 100. The number of smokers in the locality in 2016 was calculated by multiplying the adult smoking prevalence in 2016 by the total adult population for the area in 2016. This number was then divided by 100. The percentage of smokers supported was calculated by dividing the number of quit attempts through the service in 2017/18 by the estimated number of smokers in the areas in 2017. This number was then multiplied by 100. The number of smokers in the locality in 2017 was calculated by multiplying the adult smoking prevalence in 2017 by the total adult population for the area in 2017. This number was then divided by 100.

References

  1. Department of Health, 2017. Tobacco Control Plan for England (2017-22). Available: http://bit.ly/2uDYNGe [Accessed: July 2018]
  2. Annual Population Survey (2017 data), analysed by Public Health England County and UA in England. Public Health England: Local Tobacco Control Profiles. 2017. Available: http://bit.ly/2yChcSy [Accessed: July 2018]
  3. Office for National Statistics, 2018. Annual Mid-year Population Estimates: Data for 2015-2017. Available: http://bit.ly/1ObV5s7 
  4. Health and Social Care Information Centre. Statistics on Smoking in England (2015). Local Tobacco Control Profiles. 2016. Available: https://goo.gl/hrwiip [Accessed: July 2018]
  5. ONS Mortality File (2014-16), analysed by Public Health England: Local Tobacco Control Profiles. Available: https://goo.gl/ii5G17 [Accessed: July 2018
  6. NHS Digital, 2017. Quality and Outcomes Framework (2016-17). Available: http://bit.ly/2gC6LWb [Accessed: July 2018]
  7. NHS England. Enhancing the Quality of Life for People Living with Long Term Conditions. Available: http://bit.ly/2hq2hqs [Accessed: July 2018]
  8. Action on Smoking and Health, 2018. ASH Ready Reckoner. Available: http://ash.lelan.co.uk/ [Accessed: July 2018]
  9. Health and Social Care Information Centre (HSCIC) - Hospital Episode Statistics (HES), analysed by Public Health England. Available: http://bit.ly/2hqn9y5 [Accessed: July 2018]
  10. Pokhrel, S. Owen, L. Coyle, K. et al. 2016. Costs of disinvesting from stop smoking services: an economic evaluation based on the NICE Tobacco Return on Investment model. Lancet Public Health. Available: http://bit.ly/2yo58Un  [Accessed: July 2018] 
  11. West R and Fidler J (2011) ‘Key findings from the Smoking Toolkit Study’, STS014. Available at: http://bit.ly/OSS8yt  [Accessed: July 2018]
  12. National Institute of Care and Excellence (NICE), 2018. NICE Guideline 92: Stop smoking interventions and services. Available: https://goo.gl/sFQmvK  [Accessed: July 2018]
  13.  NHS Digital. Statistics on NHS Stop Smoking Services: 2017 to 2018. Available: 
  14. NHS Digital. Statistics on NHS Stop Smoking Services: 2016 to 2017. Available: http://bit.ly/2y3zYFH [Accessed: July 2018]
  15. NHS Digital. Statistics on NHS Stop Smoking Services: 2015 to 2016. Available http://bit.ly/2y3zYFH [Accessed: July 2018]