Leicester Joint Strategic Needs Assessment (JSNA). Health and social care needs associated with smoking and tobacco use, 2016.
Who’s at risk and why?
Tobacco use is the single greatest cause of preventable deaths in England. One in two regular smokers is killed by tobacco. In Leicester there are, on average, about 370 deaths per year attributable to smoking.
The level of need in the population
In 2015, 21.5% of people in Leicester aged 16 and over smoked cigarettes. Local estimates of smoking levels in Leicester suggest it is higher in men (24%) than women (19%), with these levels being lower in England at 22% and 17% respectively.
In Leicester, smoking is also highest in those in White ethnic groups (29%). Prevalence of smoking among routine and manual workers in Leicester in 2014 was 29%, which is higher than the national rate of 28%.
The prevalence of smoking during pregnancy in Leicester in 2014/15 was 11.8%, which is similar to the national rate of 11.4%. Smoking prevalence was generally higher in the more White population living in areas of high deprivation in the west of Leicester.
Current services in relation to need
74% of smokers have tried to quit and 61% of local smokers want to give up smoking. The Stop smoking service is the main local provider in Leicester City. Over 4,000 smokers accessed the service in 2014/15, with 2,000+ people being helped to stop smoking. Stop has dedicated programmes around smoke-free homes and cars, pregnant smokers, smokers identified in prisons and in secondary health care (acute and mental health).
Projected services use and outcomes in 3-5 years and 5-10 years
Nationally, the number of people accessing local stop smoking services has fallen since its peak in 2011/12, but local quit rates have remained consistent at around 50%. Similar to the national picture, Leicester City’s Stop service has experienced a decline in uptake, but at a slower rate than nationally.
Unmet needs and service gaps
Existing smokers appear to be of a more entrenched tobacco dependency than previously and hence success rates of engagement and subsequent quitting are likely to be lower and harder to obtain. Unmet needs are considered as part of regular reviews of service uptake by different population groups and monitoring of use of niche tobacco products, such as waterpipe smoking and smokeless tobacco.
Recommendations for consideration by commissioners
There are recommendations around the commissioning of comprehensive tobacco control interventions and a targeted stop smoking service, with a focus on helping priority groups to stop smoking, and support for a continuation of the range of service programmes.
- Action on smoking and health
- National centre for smoking cessation and training
- Tobacco control profiles
- NICE Quality standards, smoking cessation
- Leicester health and wellbeing survey