Evidence that the department regards as conclusive in respect of the effectiveness (and value for money) of smoking control and smoking cessation expenditure

The request was successful.

Dear NHS Health Scotland,

Please provide the evidence that NHS Health Scotland regards as conclusive in respect of the effectiveness (and value for money) of smoking control and smoking cessation expenditure

Yours faithfully,

RT Freud

HealthScotland-FOI (NHS HEALTH SCOTLAND), NHS Health Scotland

4 Attachments

Dear Sir or Madam,

 

Information Request – conclusive evidence of effectiveness of smoking
control and smoking cessation expenditure

 

I am writing with regard to your Freedom of Information request on 25
April 2016 that was received by NHS Health Scotland on the same day, in
which you ask the following:

 

“Please provide the evidence that NHS Health Scotland regards as
conclusive in respect of the effectiveness (and value for money) of
smoking control and smoking cessation expenditure.”

 

NHS Health Scotland can provide a full response to your Freedom of
Information request. 

 

The evidence for the effectiveness of tobacco control and smoking
cessation interventions is incontrovertible. This strong, established
evidence-base on effectiveness is contained in over 80 Cochrane systematic
reviews on the topic and 10 pieces of NICE public health guidance, with
the most effective interventions from this robust quality evidence for
smoking cessation and its cost-effectiveness synthesised into the various
components of NHS Health Scotland and ASH Scotland A Guide to smoking
cessation in Scotland available at
[1]http://www.healthscotland.com/documents/....

 

The World Health Organization advocates a comprehensive approach to
address tobacco harm due to the synergistic effect of combining a number
of policies and activities. A good synthesis of the evidence is available
at:

[2]http://www.euro.who.int/en/publications/....
The publication cites some “best buys” and other effective measures for
non-communicable disease prevention in terms of cost-effectiveness,
effectiveness and feasibility. These include:

o raising tobacco taxes
o protecting people from tobacco smoke
o warning about the dangers of tobacco
o enforcing legislation on advertising/promotion/sponsorship
o monitoring policies
o smoking cessation.

 

With regard to addressing tobacco related inequalities in health, the
following publication also provides a good synthesis of the evidence

 

[3]http://www.euro.who.int/en/publications/...,
with examples of how to address legislative type activity with more
individual and targeted activity to redress inequalities. Interventions
which address outstanding inequities are those which target / and protect
the most vulnerable to harm from continued exposure to tobacco use and
second-hand smoke. These are key measures in WHO and NICE and with a
positive equity impact in SILNE systematic reviews when targeted/tailored
appropriately. SILNE systematic reviews are available at
[4]http://silne.ensp.org/research-article-a...
and
[5]http://silne.ensp.org/research-article-a....

 

I trust that this answers your query. However, if for any reason you are
not satisfied with our response, you do have the right to ask the Chief
Executive to review our response. You should do this within 40 working
days of receipt of this letter and in a recordable format (letter, email,
audio tape etc). The Chief Executive will consider your query, consulting
with others as necessary, and will respond to you within 20 working days.

 

I hope that this is of help to you.

 

Yours sincerely

 

 

 

George Dodds

Director of Health Equity

NHS Health Scotland

 

 

 

Vivienne Wilson

Senior Communications and Engagement Officer

NHS Health Scotland

Direct line: 0141-414-2861

[mobile number]

Email: [email address]

 

www.healthscotland.com 

 

Follow us on Twitter @NHS_HS

 

 

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