Tobacco Control Strategy - Creating a Tobacco-Free Generation

The strategy sets out a 5 year plan for action across the key themes of health inequalities, prevention, protection and cessation

Chapter 8 Summary of Actions

Health Inequalities
1 The Scottish Government will maintain the tobacco control budget at current levels across the 5 year lifetime of this Strategy. Scottish Government
2 The Ministerial Task Force on Health Inequalities will reconvene in 2012/13 to review and refresh the Scottish Government's strategy for addressing the root causes of health inequalities. Scottish Government
3 Local Authorities and NHS Boards should work with partners in the voluntary sector and local communities to develop local tobacco control plans. These plans should be integrated with wider health improvement activity to help Community Planning Partnerships reduce health inequalities as set out in 2013 Single Outcome Agreements. Local Authorities/
NHS Boards/CPPs
4 The recommendations of the Health Inequalities Impact Assessment will be incorporated in the implementation of this strategy. Scottish Government/NHS Health Scotland
5 We will commission an audit of the implementation of Article 5.3 of the Framework Convention on Tobacco Control in Scotland, with a view to providing the Scottish Government with options for ensuring the continued protection of public health policy from undue interference from the tobacco industry. Scottish Government
6 We will establish a Prevention Sub-Group of the Ministerial Working Group on Tobacco Control. The Sub-Group will be responsible for overseeing the implementation of the preventative actions in this strategy, and for advising the Scottish Government on new actions to prevent the uptake of smoking among young people. The Sub-Group will ensure alignment with wider national prevention priorities and collaborations. Scottish Government
7 We will reinvest any recovered costs in prevention programmes designed to support young people to choose not to smoke. Scottish Government
8 Following the success of the Youth Commission on Alcohol, we will commission Young Scot to deliver a Youth Commission on Smoking Prevention. The Commission will recruit young people aged 12-21 from a range of backgrounds to provide the Scottish Government and local delivery partners with a series of recommendations and solutions which support young people to choose not to use tobacco. Young Scot
9 We will work with learning establishments and partner agencies to identify good practice and high quality resources which will be shared on the GLOW schools intranet site. Scottish Government/
Education Scotland/
NHS Heath Scotland
10 We will publish a National Action Plan for Health and Wellbeing in Curriculum for Excellence by autumn 2013. Scottish Government
11 Local tobacco control plans should take account of the potential interactions between tobacco and wider health behaviours. These plans should explicitly focus on vulnerable young people such as looked after children and young offenders. NHS Boards/Local Authorities/ADPs/Third Sector
12 We will undertake a pilot of ASSIST, which will consider its suitability for Scotland and potential for further adaptation to other risk-taking behaviour. Scottish Government
13 We will work with the youth sector to support smoking prevention programmes. Youthlink Scotland/Youth Scotland/Scottish Youth Parliament/Young Scot/ASH Scotland/Fast Forward
14 In support of the Scottish Government Parenting Strategy, we will work with service providers in the statutory and third sector to assist parents, carers and professionals address the smoking habits and associated health behaviours of young people. Scottish Government/Local Authorities/ADSW/CCPS/NHS Health Scotland/Third Sector
15 In conjunction with relevant bodies, including higher and further education and vocational training providers, we will explore what measures can be developed to support young people between 16-24 in making decisions about smoking and other health behaviours. Scottish Government/NHS Health Scotland/NHS Boards/Young Scot/ASH Scotland
16 The Scottish Government will await the UK Government and the other Devolved Administrations' responses to the recent consultation before deciding on the most appropriate legislative option for introducing the standardised packaging of tobacco products. Scottish Government
17 The bans on the sale of tobacco from automatic vending machines and the display of tobacco and smoking related products in large shops will come into force on 29 April 2013. The ban on the display of tobacco and smoking related products in all other shops will come into force on 6 April 2015. Scottish Government
18 We will maintain pressure on the UK Government to address the representation of tobacco use in the media and welcome the commitment in their most recent tobacco strategy to bring together media regulators and the entertainment industry to consider what more can be done. Scottish Government
19 We will continue to support strong national and local alliances to tackle the availability of illicit tobacco through the Enhanced Tobacco Sales Enforcement Programme. SCOTSS/COSLA/Local Authorities/Scottish Tobacco Control Alliance/HMRC/
NHS Boards
20 We will undertake a review of the Scottish Tobacco Retailer Register in 2015 by which time the Register will have been in force for three years. Scottish Government
21 We will continue to support strong national and local alliances to tackle underage purchases through the Enhanced Tobacco Sales Enforcement Programme and also more rigorous enforcement of existing tobacco sales laws. SCOTSS/COSLA/Local Authorities/Scottish Tobacco Control Alliance
22 We will consider how best to ensure that any offences under tobacco sales legislation can be taken into account by Police and Licensing Boards when granting a personal alcohol licence under the Licensing (Scotland) Act 2005. Scottish Government
23 We will work with retailers to encourage the extension of the alcohol age verification policy to the sale of tobacco products. Scottish Government
24 We will maintain pressure on the UK Government to ensure duty on tobacco products remains above inflation. Scottish Government
25 The Scottish Government will look to the Prevention Sub-Group of the Ministerial Working Group on Tobacco Control to provide advice on further options for reducing the attractiveness, availability and affordability of all tobacco and smoking-related products. Prevention Sub-Group of the Ministerial Working Group on Tobacco Control
26 Advice on creating a smoke-free home should be a feature of all ante- and post-natal services and adoption, foster, kinship and residential care services. Therefore, in keeping with GIRFEC principles, service providers should ensure that practitioners have access to appropriate resources to support families to make their homes smoke-free. NHS Boards/Local Authorities/Third Sector
27 We will ensure that advice to reduce exposure to second-hand smoke, as well as cessation advice and support, is fully incorporated in the range of services offered by Scotland's public health nurses, including the reintroduced
27 to 30-month review, as set out in the Parenting Strategy.
NHS Boards
28 We will continue to support and promote interventions such as REFRESH to help families make their homes smoke-free. Scottish Government/NHS Boards/NHS Health Scotland/ASH Scotland
29 We will make use of baseline data provided by the 2012 Scottish Health Survey to set a target for achieving a substantial reduction in children's exposure to second-hand smoke by 2020. Scottish Government
30 The Scottish Government recognises the continued importance of awareness-raising campaigns in support of this Strategy. We will run a social marketing campaign in 2013 to raise awareness of second-hand smoke in enclosed spaces and to support people to reduce the harm it can cause. The campaign will be designed and delivered in partnership with NHS Boards and Third Sector organisations. Scottish Government
31 The Scottish Government will work in partnership with the Scottish Prison Service and local NHS Boards to have plans in place by 2015 that set out how indoor smoke-free prison facilities will be delivered. Scottish Government/Scottish Prison Service/ NHS Boards
32 Taking account of the outcome of the Judicial Review of the State Hospital decision to prohibit smoking, mental health services should ensure that indoor facilities are smoke-free by 2015. NHS Boards
33 All NHS Boards will implement and enforce smoke-free grounds by March 2015. Smoke-free status means the removal of any designated smoking areas in NHS Board buildings or grounds. We will work with Boards to raise awareness of the move to smoke-free hospital grounds. This action will not apply to mental health facilities. NHS Boards
34 All Local Authorities should implement fully smoke-free policies across their properties and surrounding grounds by 2015, including setting out appropriate enforcement measures. Opportunities to extend smoke-free policies to other outdoor areas should be included in local tobacco control plans in support of SOAs. COSLA/Local Authorities
35 The Scottish Government will commission NHS Health Scotland to lead a review of smoking cessation services in Scotland. This will inform recommendations to improve the effectiveness of service provision and service outcomes, in particular among deprived groups. The Review will report by summer 2013. NHS Health Scotland/NHS Boards
36 The Scottish Government and NHS Health Scotland will continue to work closely with NHS Boards and Community Pharmacy Scotland to implement changes required to ensure service improvement. Scottish Government/NHS Health Scotland/NHS Boards/Community Pharmacy Scotland
37 The review of smoking cessation services will include specific recommendations on delivering services that are person-centred and that support the needs of people living in deprived areas and other groups where tobacco use plays a key role in unequal health outcomes. NHS Health Scotland
38 The Maternity Care Quality Improvement Collaborative will combine a focus on improving the public health role of maternity services alongside improvements in clinical care. Its overall aim is to improve outcomes and reduce inequalities in outcomes in maternity settings in Scotland. This will include measures to improve the numbers of women who are referred to smoking cessation services and improvements in the clinical management of risks for those women who
are unable or unwilling to stop smoking. Key aims of the Collaborative will be:
to refer 90% of women who have raised CO levels or who are smokers to smoking cessation services; and to provide a tailored package of care to all women who continue to smoke during pregnancy.
Healthcare Improvement Scotland/NHS Boards
39 NHS Health Scotland will work together with health professionals and pregnant women to develop effective means of communicating the risks of smoking in pregnancy and motivating women to quit smoking and stay quit, as part of the broader strategy to reduce inequalities in maternal and infant health. NHS Health Scotland
40 NHS Boards should develop systems and provide training to ensure clear and effective care pathways for smoking in pregnancy in line with current guidance. This should include CO monitoring at booking and automatic referral to smoking cessation services. NHS Boards
41 The Scottish Government will develop a successor smoking-related HEAT target to the current target which is due to be delivered in March 2014. The successor target will specifically focus on addressing health inequalities. Scottish Government
42 As part of the wider monitoring framework for the Health Promoting Health Service, the Scottish Government, NHS Health Scotland and NHS Boards will ensure progress in improving the level of support on managing temporary abstinence in acute settings across NHSScotland This will include offering specialist smoking cessation support and ensuring pre-admission and post-discharge care pathways. Scottish Government/NHS Health Scotland/NHS Boards
43 Within the context of health and social care integration, NHS Boards should take action to ensure health professionals address smoking in all care settings and provide effective and person-centred referral pathways to appropriate smoking cessation support. NHS Boards
44 The review of smoking cessation services will establish future smoking cessation training needs. NHS Health Scotland
45 We will await the findings of the current MHRA and NICE guidance before considering what further advice on tobacco harm reduction and the use of nicotine containing products, such as e-cigarettes, is required. Scottish Government
Monitoring and Evaluation
46 The Scottish Government will provide an annual Progress Report on implementation of this Strategy to the Ministerial Working Group on Tobacco Control. Scottish Government


Email: Lee-Anne Raeburn

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